小针刀松解联合神经阻滞治疗神经根型颈椎病的疗效观察

Observation on the Therapeutic Effect of Small Needle Knife Release Combined with Nerve Block in the Treatment of Cervical Spondylotic Radiculopathy

摘要: 目的：分析小针刀松解联合神经阻滞治疗神经根型颈椎病(CSR)的效果，进一步优化调整临床治疗方案，全面提升临床治疗能力。方法：试验以CSR患者为主，选取100例2022年1月~2023年6月新医大一附院昌吉分院针灸推拿科病区收治的CSR患者为研究对象，采用随机分组的方式分为观察组和对照组，各50例。对照组患者采用推拿配合针灸治疗，观察组患者实施小针刀松解联合神经阻滞治疗，对比两组总有效率、日本骨科协会评估治疗分数量表(JOA)、视觉模拟评分量表(VAS)评分、症候积分及两组治疗前、治疗后14 d颈椎曲度、颈椎屈伸活动度等变化。结果：观察组总有效率高于对照组，差异有统计学意义(P < 0.05)。两组数据处理后对比治疗后VAS、JOA评分、症候积分等指标，结论显示观察组优于对照组，差异有统计学意义(P < 0.05)。与治疗前相比，两组治疗后14 d颈椎曲度、颈椎屈伸活动度均升高(P < 0.05)，但组间比较差异无统计学意义(P > 0.05)。结论：采用小针刀松解联合神经阻滞治疗CSR效果较为理想，不仅能缓解患者疼痛，提高治疗效果，还能改善患者各症候及颈椎功能，提高生活质量，安全性较高，值得临床推广。

Abstract: Purpose: To analyze the effect of small needle knife release combined with nerve block in the treatment of cervical spondylotic radiculopathy (CSR), further optimize and adjust clinical treat-ment plans to comprehensively enhance clinical treatment capabilities. Methods: The experiment mainly focused on CSR patients, and selected 100 CSR patients admitted to the Acupuncture and Moxibustion and Massage Department of Changji Branch of the First Affiliated Hospital of Xinjiang Medical University from January 2022 to June 2023 as the research objects, the patients were di-vided into an observation group and a control group by random grouping, with 50 cases each. The patients in the control group were treated with massage and acupuncture and moxibustion, the pa-tients in observation group were treated with small needle knife release combined with nerve block. The total effective rate, JOA, VAS scores, symptom scores, and changes in cervical curvature, cervical flexion and extension range of motion before and 14 days after treatment between the two groups were compared. Result: The total effective rate of the observation group was higher than that of the control group, with a statistically significant difference (P < 0.05). After processing the two sets of data, compare the VAS, JOA scores, symptom scores, and other indicators after treatment, the con-clusion shows that the observation group is superior to the control group, with a statistically signif-icant difference (P < 0.05). Compared with before treatment, both groups showed an increase in cervical curvature and cervical flexion and extension activity at 14 days after treatment (P < 0.05), however, there was no statistically significant difference between the groups (P > 0.05). Conclusion: The use of small needle knife release combined with nerve block in the treatment of CSR has an ideal effect, not only can it alleviate patient pain, improve treatment effectiveness, but it can also improve various symptoms and cervical function, improve quality of life, and have high safety, which is worthy of clinical promotion.