中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
12期
1419-1422
,共4页
斜颈%星状神经节阻滞%体外冲击波疗法%治疗结果
斜頸%星狀神經節阻滯%體外遲擊波療法%治療結果
사경%성상신경절조체%체외충격파요법%치료결과
Torticollis%Stellate ganglion block%Extracorporeal shock waves therapy%Treatment outcome
目的：观察星状神经节阻滞（SGB）联合体外冲击波疗法（ESWT）治疗痉挛性斜颈（ST）的效果。方法选取2010年3月—2013年8月在中国医科大学附属盛京医院疼痛科门诊就诊及住院的 ST 患者33例，按照患者自愿原则分为对照组（15例）和观察组（18例），分别给予单纯 SGB 治疗及 SGB 联合 ESWT 治疗，连续应用15 d 为1个疗程。观察治疗后7、15、30、60 d 两组患者的视觉模拟量表（VAS）评分、Tsui 评分，比较两组的疗效。结果两组患者治疗前 VAS 评分及 Tsui 评分间无差异（P >0,05），治疗后7、15、30、60 d 观察组患者 VAS 评分均低于对照组（P <0,05），治疗后15、30、60 d 观察组患者 Tsui 评分低于对照组（P <0,05）。治疗后，对照组显效2例，有效10例，无效3例；观察组显效12例，有效6例，无效0例，观察组患者疗效优于对照组（u =3,255，P =0,001）。SGB操作时1例出现臂丛神经阻滞，1例出现声音嘶哑，1例出现吞咽困难，40 min 后均自行恢复。结论 SGB 联合 ESWT治疗 ST 效果优于单纯 SGB 治疗，能尽早缓解头颈部痉挛性疼痛，进一步改善肌张力、颈椎活动度、僵硬、偏斜症状，且不良反应小，远期效果佳。
目的：觀察星狀神經節阻滯（SGB）聯閤體外遲擊波療法（ESWT）治療痙攣性斜頸（ST）的效果。方法選取2010年3月—2013年8月在中國醫科大學附屬盛京醫院疼痛科門診就診及住院的 ST 患者33例，按照患者自願原則分為對照組（15例）和觀察組（18例），分彆給予單純 SGB 治療及 SGB 聯閤 ESWT 治療，連續應用15 d 為1箇療程。觀察治療後7、15、30、60 d 兩組患者的視覺模擬量錶（VAS）評分、Tsui 評分，比較兩組的療效。結果兩組患者治療前 VAS 評分及 Tsui 評分間無差異（P >0,05），治療後7、15、30、60 d 觀察組患者 VAS 評分均低于對照組（P <0,05），治療後15、30、60 d 觀察組患者 Tsui 評分低于對照組（P <0,05）。治療後，對照組顯效2例，有效10例，無效3例；觀察組顯效12例，有效6例，無效0例，觀察組患者療效優于對照組（u =3,255，P =0,001）。SGB操作時1例齣現臂叢神經阻滯，1例齣現聲音嘶啞，1例齣現吞嚥睏難，40 min 後均自行恢複。結論 SGB 聯閤 ESWT治療 ST 效果優于單純 SGB 治療，能儘早緩解頭頸部痙攣性疼痛，進一步改善肌張力、頸椎活動度、僵硬、偏斜癥狀，且不良反應小，遠期效果佳。
목적：관찰성상신경절조체（SGB）연합체외충격파요법（ESWT）치료경련성사경（ST）적효과。방법선취2010년3월—2013년8월재중국의과대학부속성경의원동통과문진취진급주원적 ST 환자33례，안조환자자원원칙분위대조조（15례）화관찰조（18례），분별급여단순 SGB 치료급 SGB 연합 ESWT 치료，련속응용15 d 위1개료정。관찰치료후7、15、30、60 d 량조환자적시각모의량표（VAS）평분、Tsui 평분，비교량조적료효。결과량조환자치료전 VAS 평분급 Tsui 평분간무차이（P >0,05），치료후7、15、30、60 d 관찰조환자 VAS 평분균저우대조조（P <0,05），치료후15、30、60 d 관찰조환자 Tsui 평분저우대조조（P <0,05）。치료후，대조조현효2례，유효10례，무효3례；관찰조현효12례，유효6례，무효0례，관찰조환자료효우우대조조（u =3,255，P =0,001）。SGB조작시1례출현비총신경조체，1례출현성음시아，1례출현탄인곤난，40 min 후균자행회복。결론 SGB 연합 ESWT치료 ST 효과우우단순 SGB 치료，능진조완해두경부경련성동통，진일보개선기장력、경추활동도、강경、편사증상，차불량반응소，원기효과가。
Objective To observe the curative effect of combination treatment of stellate ganglion block(SGB)and extracorporeal shock waves therapy(ESWT)for spasmodic torticollis(ST), Methods A total of 33 out - patients and in - pa-tients with ST in Shengjing Hospital Affiliated to China Medical University from March 2010 to August 2013 were selected as study subjects,the patients were randomly divided into control group(15 cases)and observation group(18 cases)on a voluntary ba-sis,control group received simple SGB treatment,observation group received combination treatment of SGB and ESWT,15 d was a course of treatment, The visual analogue scale(VAS)score and Tsui score 7 days,15 days,30 days,60 days after treat-ment were recorded,the curative effect was compared between two groups, Results There was no significant difference in VAS score and Tsui score between two groups before treatment(P > 0, 05);7 days,15 days,30 days and 60 days after treatment, VAS score in observation group was significantly lower than that in control groups(P < 0, 05);15 days,30 days and 60 days af-ter treatment,Tsui score in observation group was significantly lower than that in control group(P < 0, 05), After treatment, the numbers of remarkable effect,effect and inefficacy were 2,10 and 3 cases respectively in control group,the numbers of re-markable effect,effect and inefficacy were 12,6 and 0 cases respectively in observation group,the curative effect in observation group was better than that in control group(u = 3, 255,P = 0, 001), During SGB operation,1 case had brachial plexus block, 1 case had hoarse,1 case had dysphagia,the symptoms restored automatically 40 min later, Conclusion The curative effect of combination treatment of SGB and ESWT is better than that of simple SGB,combination treatment can relieve head and neck spastic pains early,and can improve muscular tension,range of motion(ROM)of cervical spine,stiffness and deflection symp-toms,the long - term effect is good.
