本文選題：超聲引導　切入點：肌間溝　出處：《中國康復醫(yī)學雜志》2017年04期

【摘要】：目的:觀察超聲引導肌間溝注射治療頸部疼痛相關性眩暈的臨床療效,探討頸部疼痛在眩暈發(fā)病機制中的作用。方法:采用隨機數(shù)字表法將40例頸性眩暈患者分為治療組及對照組。兩組患者均給予常規(guī)治療,包括改善后循環(huán)藥物、心理治療;治療組患者在此基礎上給予超聲引導肌間溝注射治療。于治療前、治療2周后采用頸交感神經(jīng)癥狀評分表(cervical symphathetic symptoms evaluation questionnaire,CSSEQ)對兩組患者進行療效評定,同時記錄治療組超聲引導肌間溝注射治療主觀感受評價、眩暈改善起效時間、眩暈消失時間。結果:兩組間治療前CSSEQ評分比較,差異無顯著性意義(P0.05),治療2周后治療組CSSEQ評分(5.26±2.47)分、對照組(12.84±3.71)分,均較治療前明顯降低(P0.05),治療組較對照組評分降低更為明顯(P0.05);治療組注射后0.5h內所有患者治療側頸肩部脹、熱,上肢麻木、乏力,18例患者自覺頭清目明、視物清晰。治療組眩暈改善起效時間平均為注射后(4.0±1.5)h,眩暈消失時間平均為(5.0±1.5)d。結論:定位精準的超聲引導肌間溝注射治療頸部疼痛相關性眩暈有效,消除頸部疼痛是治療頸性眩暈的關鍵。
[Abstract]:Objective: to observe the clinical effect of ultrasound-guided intramuscular groove injection in the treatment of cervical pain associated vertigo. Methods: 40 patients with cervical vertigo were randomly divided into treatment group and control group. The patients in the treatment group were treated with ultrasound-guided intramuscular sulcus injection. Before and 2 weeks after treatment, the patients in the two groups were evaluated with cervical symphathetic symptoms evaluation questionnaire CSSEQ. At the same time, the subjective feeling evaluation of ultrasound guided intramuscular sulcus injection was recorded in the treatment group, the onset time of vertigo was improved and the time of vertigo disappeared. Results: CSSEQ scores were compared before treatment between the two groups. After 2 weeks of treatment, the CSSEQ score of the treatment group was 5.26 鹵2.47, and that of the control group was 12.84 鹵3.71, which was significantly lower than that of the control group (P 0.05), and that of the treatment group was significantly lower than that of the control group (P 0.05), and that of the treatment group was significantly lower than that of the control group (P 0.05), and the neck and shoulder distended and hot in all the patients in the treatment group within 0.5 h after injection. 18 patients with upper limb numbness and fatigue were conscious of clearing their head and eyes. Visual clarity. The average improvement time of vertigo in treatment group was 4.0 鹵1.5 hours after injection, and the average disappearance time of vertigo was 5.0 鹵1.5 days. Conclusion: ultrasonic guided intramuscular groove injection is effective in treating cervical pain related vertigo. Eliminating neck pain is the key to the treatment of cervical vertigo.
【作者單位】： 廣東醫(yī)學院附屬南山醫(yī)院康復醫(yī)學科;廣東醫(yī)學院附屬南山醫(yī)院蓮城社區(qū)康復中心;廣東醫(yī)學院附屬南山醫(yī)院超聲科;
【分類號】：R493;R681.5
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本文編號：1681265