中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
6期
29-30
,共2页
颅脑损伤%颈性眩晕%头痛%椎动脉%星状神经节阻滞术
顱腦損傷%頸性眩暈%頭痛%椎動脈%星狀神經節阻滯術
로뇌손상%경성현훈%두통%추동맥%성상신경절조체술
Craniocerebral injury%Cervical vertigo%Headache%Vertebral artery%Stellate ganglion block
目的：探讨早期综合治疗颅脑损伤致颈性眩晕、头痛患者基底动脉（BA ）、椎动脉（VA ）的收缩末期血流速度（VP）、舒张末期血流速度（VD）的影响及临床疗效。方法选择2010-12-2012-12我院神经外科收治的头颅外伤所致颈性眩晕头痛患者76例，随机分为观察组和对照组各38例，对照组常规药物治疗，观察组在对照组基础上实施综合治疗（颈椎牵引＋星状神经节阻滞术＋颈部理疗），比较2组BA、VA的VP、VD变化、治疗时间及有效率。结果观察组BA、VA的VP、VD改善程度明显优于对照组（P＜0.05），治疗时间明显短于对照组（P＜0.05），治愈率和总有效率均高于对照组（P＜0.05）。结论颅脑外伤颈性眩晕、头痛早期采用颈椎低质量牵引联合星状神经节阻滞术和颈部理疗的综合治疗方法，临床疗效明显优于单纯药物治疗，值得临床推广应用。
目的：探討早期綜閤治療顱腦損傷緻頸性眩暈、頭痛患者基底動脈（BA ）、椎動脈（VA ）的收縮末期血流速度（VP）、舒張末期血流速度（VD）的影響及臨床療效。方法選擇2010-12-2012-12我院神經外科收治的頭顱外傷所緻頸性眩暈頭痛患者76例，隨機分為觀察組和對照組各38例，對照組常規藥物治療，觀察組在對照組基礎上實施綜閤治療（頸椎牽引＋星狀神經節阻滯術＋頸部理療），比較2組BA、VA的VP、VD變化、治療時間及有效率。結果觀察組BA、VA的VP、VD改善程度明顯優于對照組（P＜0.05），治療時間明顯短于對照組（P＜0.05），治愈率和總有效率均高于對照組（P＜0.05）。結論顱腦外傷頸性眩暈、頭痛早期採用頸椎低質量牽引聯閤星狀神經節阻滯術和頸部理療的綜閤治療方法，臨床療效明顯優于單純藥物治療，值得臨床推廣應用。
목적：탐토조기종합치료로뇌손상치경성현훈、두통환자기저동맥（BA ）、추동맥（VA ）적수축말기혈류속도（VP）、서장말기혈류속도（VD）적영향급림상료효。방법선택2010-12-2012-12아원신경외과수치적두로외상소치경성현훈두통환자76례，수궤분위관찰조화대조조각38례，대조조상규약물치료，관찰조재대조조기출상실시종합치료（경추견인＋성상신경절조체술＋경부리료），비교2조BA、VA적VP、VD변화、치료시간급유효솔。결과관찰조BA、VA적VP、VD개선정도명현우우대조조（P＜0.05），치료시간명현단우대조조（P＜0.05），치유솔화총유효솔균고우대조조（P＜0.05）。결론로뇌외상경성현훈、두통조기채용경추저질량견인연합성상신경절조체술화경부리료적종합치료방법，림상료효명현우우단순약물치료，치득림상추엄응용。
Objective To investigate the effect of patients’VP ,VD changes of BA ,VA and clinical efficacy of early com-prehensive treatment on cervical vertigo and headache resulted from traumatic brain injury. Methods 76 cases with vertigo , headache resulted from traumatic brain injury in our hospital from December 2010 to December 2012 were selected and random-ly divided into observation group and control group ,each group with 38 cases ;control group were treated with routine drug , observation group were treated with comprehensive therapy (cervical traction ,stellate ganglion block and neck physical thera-py) on base of control group.the VP ,VD changes of BA ,VA ,treatment time and efficiency were compared between two group.Results The VP ,VD changes of BA ,VA in observation group improved more significantly than those of control group (P<0.05);the treatment time of observation group were significantly shorter than that of control group (P<0.05);the cure rate and total effective rate in observation group were significantly higher than those of control group (P<0.05).Conclusion Early comprehensive treatment including cervical traction with low weight combined with stellate ganglion block and neck phys-ical therapy Treating has better clinical efficacy on cervical vertigo ,headache resulted from traumatic brain injury than pure drug therapy ,and it is worthy of clinical application.
