目的：观察应用肩胛上神经联合肩胛背神经阻滞治疗颈肩部疼痛综合征的临床疗效。方法选择颈肩部疼痛患者30例，随机分为局部痛点封闭组（LB组，n＝15）和肩胛上神经联合肩胛背神经阻滞组（NB组，n＝15），其中LB组接受局部痛点封闭与耸肩运动康复治疗，而NB组接受肩胛上神经联合肩胛背神经阻滞与耸肩运动康复治疗。对比观察两组治疗前、治疗后1周、治疗后3周的疼痛程度、颈部及肩关节活动度。结果两组治疗后疼痛程度均较治疗前显著降低（ P ﹤0.05），且NB组治疗后1周和3周的疼痛程度显著低于LB组（ P ﹤0.05）。NB组颈椎及肩关节功能活动度在治疗后显著升高（ P ﹤0.05），且治疗后1周和3周的颈椎及肩关节功能活动度明显高于LB组（ P ﹤0.05）。结论肩胛上神经联合肩胛背神经阻滞治疗颈肩部疼痛综合征可以有效减轻疼痛症状，并明显改善因疼痛所致的颈椎及肩关节功能活动受限。%Objective To observe the therapeutic effect of suprascapular nerve block combined with dorsal scapular nerve block in the treatment for patients with neck and shoulder pain syndrome. Methods Thirty patients with neck and shoulder pain syndrome were randomly as-signed group LB(n=15)in which patients received local pain point injection and shoulder rehabilitation and group NB(n=15)in which pa-tients received suprascapular nerve block combined with dorsal scapular nerve block and shoulder rehabilitation. The pain intensity and range of motion in neck and shoulder were observed. Results The pain intensity after the treatment was significantly lower than that before the treatment in both groups( P ﹤0. 05),and the pain intensity after the treatment in group NB was significantly lower than that in group LB( P ﹤0. 05). The range of motion in neck and shoulder after the treatment was significantly greater than that before the treatment in group NB( P ﹤0. 05),and the range of motion in neck and shoulder in group NB was significantly greater than that in group LB( P ﹤0. 05). Conclusion Suprascapular nerve block combined with dorsal scapular nerve block which can reduce the pain intensity and increase the range of motion in neck and shoulder is effective in the treatment for patients with neck and shoulder pain syndrome.
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