超声引导选择性颈神经根阻滞治疗老年颈源性疼痛的效果观察
Observation on curative effect of elderly patients with cervical pain by ultrasound-guided selective cervical nerve root block

目的 观察超声引导选择性颈神经根阻滞治疗老年颈源性疼痛的疗效。方法 83例颈源性疼痛患者，根据受累颈神经根节段，在超声引导下行选择性颈神经根阻滞治疗。随访并比较患者术前及治疗后1、6个月视觉模拟评分法(VAS)评分和颈椎功能障碍指数（NDI），并根据Odom标准对治疗效果进行评价。结果 50例患者完成随访。患者治疗后1、6个月VAS评分与NDI均较术前明显改善（P<0.05)。按照Odom标准，治疗后1、6个月优良率分别为90%和82%。所有患者均未出现不良反应。结论 超声引导选择性颈神经根阻滞可安全有效地治疗老年颈源性疼痛。
： Objective To observe the curative effect of elderly patients with cervical pain by ultrasound-guided selective cervical nerve root block. Methods A total of 83 elderly patients with cervical pain underwent ultrasound-guided selective cervical nerve block according to involved cervical nerve root segments. Patients were followed up and their scores of visual analogue scale (VAS) and neck disability index (NDI) before treatment and 1 and 6 months after treatment were compared. The therapeutic effect was evaluated according to Odom criteria. Results The follow-up was completed for 50 patients. Scores of VAS and NDIs 1 and 6 months after treatment were significantly better than those of before treatment (P<0.05). According to the Odom criteria, the overall excellent and good rates 1 and 6 months after treatment were 90% and 82%, respectively. Adverse reactions were not found among all patients. Conclusion Ultrasound-guided selective cervical nerve root block is a safe and effective method for the treatment of elderly patients with cervical pain