中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
5期
626-628
,共3页
何明伟%于密生%郭玉娜%王琦%李玄英%刘京杰%岳建宁%马骏%倪家骧
何明偉%于密生%郭玉娜%王琦%李玄英%劉京傑%嶽建寧%馬駿%倪傢驤
하명위%우밀생%곽옥나%왕기%리현영%류경걸%악건저%마준%예가양
颈源性头痛%神经阻滞%臭氧注射
頸源性頭痛%神經阻滯%臭氧註射
경원성두통%신경조체%취양주사
Cervicogenic headache%Nerve block%Injection of ozone
目的 探讨高位颈神经阻滞联合臭氧注射治疗颈源性头痛的效果.方法 60例颈源性头痛患者完全随机分为A组(31例)和B组(29例).A组接受颈2、3神经阻滞联合臭氧注射治疗,B组仅接受颈2、3神经阻滞治疗.分别于治疗后1周和3、6个月进行疗效评价.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(1.3±0.4)、(1.8±1.2)和(2.3+1.4)分,B组分别为(1.5±1.1)、(3.4±1.3)和(4.3±2.2)分,A组治疗后3、6个月VAS评分均明显低于B组,差异均有统计学意义(均P＜0.05).治疗后1周及3、6个月A组优良率分别为100.0％(31例)、87.1％(27例)、80.6％(25例),B组分别为100.0％(29例)、72.4％(21例)、62.1％(18例),A组治疗后3、6个月优良率均高于B组,差异均有统计学意义(均P＜0.05).各组无明显并发症发生.结论 高位颈神经阻滞联合臭氧注射治疗颈源性头痛疗效优于单纯高位颈椎旁神经阻滞治疗,但其远期疗效有待于进一步探讨.
目的 探討高位頸神經阻滯聯閤臭氧註射治療頸源性頭痛的效果.方法 60例頸源性頭痛患者完全隨機分為A組(31例)和B組(29例).A組接受頸2、3神經阻滯聯閤臭氧註射治療,B組僅接受頸2、3神經阻滯治療.分彆于治療後1週和3、6箇月進行療效評價.結果 治療後1週、3箇月和6箇月的視覺模擬評分法(VAS)評分A組分彆為(1.3±0.4)、(1.8±1.2)和(2.3+1.4)分,B組分彆為(1.5±1.1)、(3.4±1.3)和(4.3±2.2)分,A組治療後3、6箇月VAS評分均明顯低于B組,差異均有統計學意義(均P＜0.05).治療後1週及3、6箇月A組優良率分彆為100.0％(31例)、87.1％(27例)、80.6％(25例),B組分彆為100.0％(29例)、72.4％(21例)、62.1％(18例),A組治療後3、6箇月優良率均高于B組,差異均有統計學意義(均P＜0.05).各組無明顯併髮癥髮生.結論 高位頸神經阻滯聯閤臭氧註射治療頸源性頭痛療效優于單純高位頸椎徬神經阻滯治療,但其遠期療效有待于進一步探討.
목적 탐토고위경신경조체연합취양주사치료경원성두통적효과.방법 60례경원성두통환자완전수궤분위A조(31례)화B조(29례).A조접수경2、3신경조체연합취양주사치료,B조부접수경2、3신경조체치료.분별우치료후1주화3、6개월진행료효평개.결과 치료후1주、3개월화6개월적시각모의평분법(VAS)평분A조분별위(1.3±0.4)、(1.8±1.2)화(2.3+1.4)분,B조분별위(1.5±1.1)、(3.4±1.3)화(4.3±2.2)분,A조치료후3、6개월VAS평분균명현저우B조,차이균유통계학의의(균P＜0.05).치료후1주급3、6개월A조우량솔분별위100.0％(31례)、87.1％(27례)、80.6％(25례),B조분별위100.0％(29례)、72.4％(21례)、62.1％(18례),A조치료후3、6개월우량솔균고우B조,차이균유통계학의의(균P＜0.05).각조무명현병발증발생.결론 고위경신경조체연합취양주사치료경원성두통료효우우단순고위경추방신경조체치료,단기원기료효유대우진일보탐토.
Objective To study the effect of the upper cervical nerve block combined with injection of ozone for the treatment of cervicogenic headache.Methods Sixty patients suffering from cervicogenic headache were randomly divided into group A(n =31)and group B(n =29).Group A received C2,3 nerve block combined with injection of ozone;group B received upper cervical nerve block.The efficacy and improvement of pain were compared.Results For group A,at 1 week,1 month and 3 months after opeartaion,the visual analogue scale(VAS) scores were (1.3 ± 0.4),(1.8 ± 1.2) and (3.1 ± 1.4) scores ; the excellent and good rate was 100.0％ (31/31),87.1％ (27/31),80.6％ (25/31) respectively.For group B,the VAS scores were (1.5 ± 1.1),(3.4 ± 1.3) and (4.3 ± 2.2) scores ; the excellent and good rate was 100.0％ (29/29),72.4％ (21/29),62.1％ (18/29),respectively.Compared with group B,3 months and 6 months after treatment,the VAS in group A were significantly reduced,the excellent and good rate were higher (P ＜ 0.05).Conclusion Upper cervical nerve block combined with injection of ozone in treatment of cervicogenic headache is better than the upper cervical nerve block alone,but its long-term effect remains to be explored.
