电动牵引加神经阻滞治疗颈源性头痛的临床观察

Clinical observation of electric traction and nerve block in the treatment of cervicogenic headache

目的观察电动牵引加神经阻滞治疗颈源性头痛的临床效果。方法将颈源性头痛患者120例随机分为牵引加神经阻滞治疗组和单纯牵引及单纯神经阻滞组。牵引选坐式颌枕带颈部间歇牵引,神经阻滞选患侧颈2横突及枕后结节外侧枕大神经、枕小神经为穿刺点,每点注入阻滞液3～5 ml。结果治疗后1个月、3个月VAS评分均较治疗前明显降低（P〈0.05）。结论颈源性头痛选择神经阻滞能迅速缓解疼痛,颈部牵引则能纠正紊乱的颈椎力学结构,二者兼用治疗颈源性头痛疗效优于单纯牵引及神经阻滞。

Objective To observe the electric traction and nerve block in the treatment of patients with cervicogenic headache. Methods 120 patients with cervicogenie headache were randomly divided into three groups., nerve block group, traction group and traction with nerve block group. Lower jaw and occiput were tracted with intermittent traction under sitting position. The transverse process of C2 and the nerve occipital of major and minor were punctured, 3-5 ml mixture block solution was injected into each point. Results The VAS between pre-treatment and post-treatment after 1 month and 3 months were significantly lower （P〈0. 05）. Conclusion The pain relief of cervicogenic headache with the teatment of nerve block is quick, neck traction can correct the disorders of mechanical structure in the cervical spine, the results of combination of both to treat cervicogenic headache is more effective than the method of traction or nerve block only.