CAJ | 학술논문

目的探讨超声引导下枕神经阻滞在颈源性头痛治疗中的临床疗效.方法将48例颈源性头痛患者随机分成对照组和超声组,每组24例.对照组采用传统盲探操作行患侧枕神经阻滞,超声组采用超声引导下行患侧枕神经阻滞;两组均每周治疗1次,持续2周.比较两组患者穿刺成功率、穿刺次数、穿刺时间、治疗1周和1个月后的视觉模拟(VAS)评分及总有效率的差异.结果与对照组比较,超声组入路的实际穿刺深度和穿刺时间缩短,感觉阻滞增高,穿刺成功率增高,患者满意率增高,差异均有统计学意义(P<0.05).两组治疗后1周和1个月的 VAS 评分均较治疗前下降,治疗后1个月 VAS 评分较治疗后1周亦下降,但超声组较对照组下降更明显,差异均有统计学意义(P<0.05).两组患者均未发生严重并发症.结论超声引导下枕神经阻滞治疗颈源性头痛的方法明显优于传统盲探的治疗方法.
목적탐토초성인도하침신경조체재경원성두통치료중적림상료효.방법장48례경원성두통환자수궤분성대조조화초성조,매조24례.대조조채용전통맹탐조작행환측침신경조체,초성조채용초성인도하행환측침신경조체;량조균매주치료1차,지속2주.비교량조환자천자성공솔、천자차수、천자시간、치료1주화1개월후적시각모의(VAS)평분급총유효솔적차이.결과여대조조비교,초성조입로적실제천자심도화천자시간축단,감각조체증고,천자성공솔증고,환자만의솔증고,차이균유통계학의의(P<0.05).량조치료후1주화1개월적 VAS 평분균교치료전하강,치료후1개월 VAS 평분교치료후1주역하강,단초성조교대조조하강경명현,차이균유통계학의의(P<0.05).량조환자균미발생엄중병발증.결론초성인도하침신경조체치료경원성두통적방법명현우우전통맹탐적치료방법.
Objective To explore the value of ultrasound -guided occipital nerve block in treating refractoriness cervicogenic headache. Methods Forty-eight patients with cervicogenic headache were randomly divided into ultrasound group (n=24) and control group (n=24). In ultrasound group,patients were treated by ultrasound-guided occipital nerve block. In control group,patients were treated by conventional occipital nerve block. In two groups,treatments were proceeded once a week and lasted 2 weeks. Puncture success rate, puncture times, puncture time, visual analogue score (VAS) and total effective rate were compared between the two groups. Results Compared with control group, puncture depth and puncture time decreased , feeling block,puncture success rate and patients satisfaction increased in ultrasound group(P<0.05). In two groups,VAS after treatment 1 week and 1 month was less than that before treatment. VAS after treatment 1 month was less than that after treatment 1week. VAS decrease of ultrasound group was more obvious than that of control group (P<0.05). Patients had not serious complications in two groups. Conclusion For refractoriness cervicogenic headache,the method by ultrasound -guided occipital nerve block is obviously superior to conventional method.