星状神经节联合颈丛神经阻滞治疗颈源性头痛的临床应用

Stellate ganglion block combined with cervical nerve block to treat cervieogenic headache

目的观察星状神经节联合颈丛神经阻滞治疗颈源性头痛的临床效果。方法选择疼痛门诊颈源性头痛患者63例,阻滞药物均为1%利多卡因。于患侧阻滞颈2、3、4脊神经,无不良反应后阻滞同侧星状神经节。均隔日阻滞1次,3次为1疗程。观察记录治疗前后的VAS评分,同时记录患者治疗后1、6、12个月的治愈、显效、有效、无效例数及不良反应。结果与治疗前比较,第1次至第3次治疗后的VAS评分均显著降低(P<0.05);与第1次治疗后比较,第3次治疗后的VAS评分显著降低(P<0.05);第1次和第2次治疗后的VAS评分差异无统计学意义(P>0.05);全组治愈率84.1%(53例),总有效率96.8%(61例);均无任何不良反应发生。结论星状神经节联合颈丛神经阻滞治疗颈源性头痛具有满意的临床疗效。

Objective To observe the clinical effects of stellate ganglion block combined with cervical nerve block for treating cervicogenic headache. Methods Sixty three patients with cervicogenic headache were selected. In the side of the headache 2, 3, 4 cervical spinal nerves were blocked with 1% lidocaine, after the stellate ganglion block was no adverse reactions, 1 time per two days and 3 times for a course of treatment. VAS scales were recorded before and 1 month, 6 months, 12 months after treatment. The cure, Significant, effective, ineffective cases and adverse reactions were recorded. Results The VAS after treatment of 1st to 3rd was significantly lower than that before treatment （P〈0. 05） ; the VAS after treatment of 3rd was significantly lower than that the 1st after treatment （P〈0.05）; The VAS of 1st and 2nd after treatment was no significant difference （P〈0.05）; the totel cure rate and total effective rate were 84. 1% （53 cases） and 96.8% （61 cases） respectively. No any adverse reactions occurred. Conclusion Stellate ganglion block combined with cervical nerve block to treat cervicogenic headachewas is of satisfactory clinical efficacy.