Abstract:

【Abstract】Objective To compare the curative effect of different volumes of epidural compound betamethasone injection on nerve-root-type cervical spondylosis. Methods Sixty-eight patients with nerve-root-type cervical spondylosis were treated in our department from Jan...2012 to Dec. 2012. The patients were divided randomly into two groups, group A and group B. The cervical 6-7 intervertebral space was selected as the puncture site..After succeeding in epidural puncture and catheterization according to operation procedures, one ampulla of compound betamethasone injection was diluted to 40 mL (A group,n=35) and 20 mL (B group,n=33) with normal saline and injected through the catheter into the epidural space in group A and group B respectively. And then the curative effect were compared between two groups. Results The curative effect of nerve-root-type cervical spondylosis of group A was better than that of group B(P<0.05). Conclusion Different volumes of epidural steroid injection have a curative effect on nerve-root-type cervical spondylosis, but effect of the larger volume group is better than that of the smaller one.

Key words: Nerve-root-type cervical spondylosis, Volume, Epidural injection

摘要：

【摘要】 目的 对比不同容量复方倍他米松硬膜外注射治疗神经根型颈椎病的疗效。方法 我科疼痛门诊自2012年1月~2012年12月共收治68例颈神经根型颈椎病患者,随机将患者分为两组,选取颈椎C6~7间隙作为穿刺点,按照硬膜外操作规程穿刺置管成功后,将得一支复方倍他米松注射液用生理盐水稀释,A组患者稀释至40 mL注射,B组稀释至20 mL注射,然后对照疗效。结果 本组第一疗程结果2周后,总有效率A组为97.1%(34/35),B组是84.8%(28/33)(P<0.05)。两组在穿刺过程及第一疗程结束后两周复诊未见头晕、恶心、神经损伤及硬膜外血肿等并发症。本组64例获随访,随访时间3个月~6个月,未完成随访的4例均为临床无效患者。结论 不同容量复方倍他米松硬膜外注射治疗神经根型颈椎病的疗效确切,但大容量组疗效优于小容量组。

关键词: 硬膜外注射, 神经根型颈椎病, 容量