摘要
目的:探讨皮质醇类药物行神经阻滞对颅脑手术后急性重度颈源性头痛的疗效。方法:颅脑手术后急性重度头痛患者31例,按照国际诊断颈源性头痛(CEH)的标准确定为CEH进入本研究。应用曲安萘德10 mg配成利多卡因浓度为0.4%的消炎镇痛液行枕大、枕小、耳大神经或颈2横突阻滞,每个穿刺点注射3 ml。记录治疗前及治疗后1天、3天、5天和30天的疼痛程度数字评分(NRS)、颈项僵硬和颈部活动度的自我评价。结果:与治疗前疼痛程度数字评分8.4±1.0比较,神经阻滞治疗后1天、第3天、第5天和第30天时分别为1.9±0.9,2.3±1.1,1.0±0.9,0.7±0.8。与治疗前颈部僵硬和颈部活动度自我评价2.8±0.8比较,治疗后1天、第3天、第5天和第30天时分别为1.7±0.6,1.3±0.6,1.3±0.4,1.0±0.2。神经阻滞治疗后头痛明显减轻,颈部僵硬和活动度明显改善。结论:皮质醇类药物行神经阻滞对于颅脑手术后急性重度颈源性头痛具有明显的治疗作用。
Objective： To investigate the effects of neural blockade on acute severe cervicogenic headache（CEH） following craniotomy.Methods： Thirty-one patients suffered from acute severe headache diagnosis as CEH after craniotomy were treated by occipital neural blockade and C2 neural blockade with 0.4% lidocai-ne and triamcinolone acetonide 10 mg.After the blockade,the pain degree（numeric rating scales,NRS）,the degree of cervical stiff were assessed.Results： Compared with NRS 8.4 ± 1.0 before treatment,the scores of the 1st day,the 3rd day,the 5th day,and the 30th day after treatment were 1.9 ± 0.9,2.3 ± 1.1,1.0 ± 0.9 and 0.7 ± 0.8 respectively.Range of motion（ROM） scores in the neck were also considerably improved after treatment.Conclusion： The neural blockade was effective for the treatment of CEH after craniotomy.
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2012年第1期25-27,共3页
Chinese Journal of Pain Medicine
关键词
颈源性头痛
神经阻滞
颅脑手术
Cervicogenic headache
Neural blockade
Craniotomy
