Abstract: Objective　To investigate the clinical effect of nerve root block and shock wave in the treatment of cervical spondylotic radiculopathy. Methods　From June 2019 to June 2020, 60 patients with cervical spondylosis radiculopathy treated in Xuchang Central Hospital were divided into a control group and a study group by lottery, with 30 cases in each group. There were 13 males and 17 females in the control group, and they were (41.09±4.41) years old. There were 14 males and 16 females in the study group, and they were (41.85±5.27) years old. The control group were treated with nerve root block, and the study group with shock wave and nerve root block. After the treatment, the clinical efficacies, scores of Visual Analog Scale (VAS), and neck disability indexes (NDI) of the two groups were compared and analyzed. Chi square test, independent sample t test, and ANONA were applied. Results　After 4 weeks' treatment, the total clinical effective rate of the study group was higher than that of the control group [86.7% (26/30) vs. 63.3% (19/30)], with a statistical difference (P<0.05). After 2 weeks' treatment, the scores of VAS of the two groups were lower than those before the treatment, and the score in the study group was lower than that in the control group [(2.93±0.54) vs. (3.84±0.79)], with a statistical difference (P<0.05); the NDI's of the two groups were lower than those before the treatment, and the NDI in the study group was lower than that in the control group [(23.03±2.74) vs. (26.55±1.87)], with a statistical difference (P<0.05). After 4 weeks' treatment, the score of VAS and NDI of the study group were lower than those of the control group [(1.29±0.44) vs. (2.23±0.85) and (13.76±2.33) vs. (19.77±4.42)], with statistical differences (both P<0.05). Conclusion　For patients with radiculopathy of cervical spondylosis, nerve root block or nerve root block combined with shock wave can alleviate their discomfort, but the latter is better on reducing their pain, so it is worth being clinically generalized.

Key words:  , Cervical spondylotic radiculopathy, Nerve block, Shock wave

摘要： 目的　探讨神经根阻滞与冲击波治疗神经根型颈椎病的临床效果。方法　选取2019年6月至2020年6月就诊于许昌市中心医院的神经根型颈椎病患者60例，应用抽签的方法分为对照组和研究组，各30例。对照组男13例，女17例，年龄（41.09±4.41）岁。研究组男14例，女16例，年龄（41.85±5.27）岁。对照组采用单纯神经根阻滞治疗，研究组采用神经根阻滞+冲击波治疗。治疗后，对比分析两组临床疗效、视觉模拟评分量表（Visual Analogue Scale，VAS）评分以及颈椎功能障碍指数（neck disability index，NDI）。采用卡方检验、独立样本t检验和方差分析。结果　治疗4周后，研究组总临床有效率为86.7%（26/30），高于对照组的63.3%（19/30），差异有统计学意义（P<0.05）。治疗2周后，两组VAS评分均低于治疗前，且研究组低于对照组［（2.93±0.54）分比（3.84±0.79）分］，差异有统计学意义（P<0.05）；两组NDI低于治疗前，且研究组低于对照组［（23.03±2.74）比（26.55±1.87）］，差异有统计学意义（P<0.05）。治疗4周后，研究组VAS评分低于对照组［（1.29±0.44）分比（2.23±0.85）分］，差异有统计学意义（P<0.05）；研究组NDI低于对照组［（13.76±2.33）比（19.77±4.42）］，差异有统计学意义（P<0.05）。结论　对于神经根型颈椎病患者，单纯的神经根阻滞与神经根阻滞+冲击波治疗都能减轻患者症状，但后者更能减轻患者痛苦，值得临床推广应用。

关键词: 神经根型颈椎病, 神经根阻滞, 冲击波