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目的 探讨超声引导下颈神经根阻滞治疗颈椎病的临床效果.方法 将132例神经根型颈椎病患者采用随机数字表法分为两组,每组66例,研究组给予超声引导下颈神经根阻滞治疗,对照组给予体表定位神经根阻滞治疗.比较两组临床疗效、靶点注射/阻滞区吻合数、治疗次数＞2次数比率变化情况,比较治疗前及治疗后1周末、4周末两组疼痛次数、疼痛持续时间及疼痛数字评分.结果 研究组总有效率显著高于对照组(P＜0.05),靶点注射/阻滞区吻合数显著多于对照组,治疗次数＞2次数者显著少于对照组(P＜0.05或0.01).治疗后1周末起两组疼痛次数均显著少于治疗前(P＜0.05),疼痛持续时间显著短于治疗前(P＜0.05),疼痛数字评分显著低于治疗前(P＜0.05),研究组较对照组变化更显著(P＜0.05).结论 超声引导下神经根阻滞治疗颈椎病疗效显著,定位准确,能有效缓解疼痛.值得推广应用.“,”Objective To investigate the clinical value of cervical nerve root block guided by ultrasound in the treatment of cervical spondylosis. Methods 132 cases of cervical spondylosis of nerve root type were selected and randomly divided into two groups, 66 cases in each group. The study group was given ultrasound guided cervical nerve root block, the control group was given surface locating cervical nerve root block. Compare the curative effect, TPI/ block number, treatment times＞2 changes condition of the two groups. The pain numbers, pain duration, NRS of the two groups before treatment, and at 1, 4 weeks after treatment were compared. Results Total effective rate of the observation group was significantly higher than that of the control group (P＜0.05),TPI/ block number of the observation group was significantly higher than that of the control group, patients with treatment times＞2 were significantly less than those in the control group(P＜0.05 or 0.01). At the end of 1 week after treatment, the pain numbers of the two groups were significantly less than those before treatment (P＜0.05), pain duration was significantly shorter than that before treatment (P＜0.05),NRS was significantly lower than that before treatment (P＜0.05),the observation group changed more significantly than the control group (P＜0.05). Conclusion Ultrasound guided cervical nerve root block in the treatment of cervical spondylosis has accurate location, it can effectively relieve pain, and it is worthy of popularization and application.