颈椎旁阻滞联合不同方法治疗颈源性头痛的临床观察

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摘要目的探讨颈椎旁阻滞联合不同方法治疗颈源性头痛的临床治疗效果。方法将240例颈源性头痛患者随机分为A组、B组和C组,每组各80例。A组实施颈椎旁路神经阻滞,B组在A组基础上联用臭氧注射治疗,C组在A组的基础上加用星状神经节阻滞,比较三组患者的视觉疼痛评分(VAS)以及临床疗效。结果治疗后1周、3个月和6个月的视觉模拟评分法(VAS)评分,A组分别为(1.51±1.2)、(3.42±1.4)和(4.32±2.3)分,B组分别为(1.31±0.5)、(1.81±1.3)和(2.32±1.5)分,C组分别为(1.32±0.4)、(1.82±1.2)和(2.31±1.5)分,A组治疗后3、6个月VAS评分均明显高于B组和C组,差异均有统计学意义(P<0.05)。治疗后1周及3、6个月A组优良率分别为100.0%、71.25%、62.50%;治疗后1周及3、6个月B组优良率分别为100.0%、87.50%、80.00%;治疗后1周及3、6个月C组优良率分别为100.0%、88.75%、81.25%;A组治疗后3、6个月优良率均低于B、C组,差异均有统计学意义(均P<0.05)。结论颈椎旁阻滞联合不同方法治疗颈源性头痛的临床疗效显著,可明显改善患者的临床症状。

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关键词 ：颈源性头痛, 颈椎旁阻滞, 星状神经节阻滞, 臭氧注射

Abstract：Objective To study the clinical effect of cervical nerve block combined with stellate ganglion block and ozone injection in the treatment of patients with cervicogenic headache.Methods 240 cases of cervical headache patients were randomly and evenly divided into group A, group B and group C. Group A received cervical bypass nerve block, group B recived ozone injection plus cervical bypass nerve block, while group C was treated with stellate ganglion block plus cervical bypass nerve block. The visual analogue scale (VAS) and clinical curative effect of the three groups of patients were compared.Results After treatment for 1 week, 3 months and 6 months, the VAS scores were (1.51±1.2), (3.42±1.4) and (4.32±2.3) respectively in group A,(1.31±0.5), (1.81±1.3) and (2.32±1.5) respectively in group B, and (1.32±0.4),(1.82±1.2) and (2.31±1.5) respectively in group C. The VAS scores in group A were better than those in group B and C at each time point(P＜0.05). After treating for 1 week, 3 months and 6 months, the excellent rates were 100.0%, 71.25% and 62.50% respectively in group A, 100.0%,87.50% and 80.00% in group B and 100.0%, 88.75% and 81.25% in group C. The excellent rates of group A after treating for 3 months and 6 months were significantly lower than those in group B and C (P＜0.05).Conclusion The clinical efficacy of cervical nerve block combined with stellate ganglion block or ozone injection is better than that of cervical nerve block in treating cervicogenic headache, which is worthy of clinical use.

Key words： cervicogenic headache cervical nerve block stellate ganglion block ozone injection

收稿日期: 2016-03-16 出版日期: 2017-01-05

引用本文:

吴世健, 刘念, 窦艳伟. 颈椎旁阻滞联合不同方法治疗颈源性头痛的临床观察[J]. 解放军预防医学杂志, 2016, 34(6): 896-898.
WU Shijian, LIU Nian, DOU Yanwei. Effect of Cervical Nerve Block Combined with Different Methods in Treating Cervicogenic Headache. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(6): 896-898.

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http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/ 或 http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/Y2016/V34/I6/896

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