星状神经节阻滞联合电针治疗偏头痛的疗效观察

Clinical observation of stellate ganglion block combined with electroacupuncture in the treatment of migraine

目的观察星状神经节阻滞(SGB)联合电针治疗偏头痛的疗效及相关脑血流变化。方法将60例偏头痛患者随机分为两组,每组30例。对照组采用单纯SGB治疗,实验组采用SGB联合电针治疗。用彩色多普勒超声诊断仪于每次治疗前后测量患者双侧颈总动脉血流动力学参数。VAS评估疼痛程度及疗效。监测生命体征改变,并做脑血流图检查。结果两组治疗后颈总动脉血管内径(SGB侧)均明显大于治疗前(P<0.01),两组治疗后颈总动脉阻力指数(SGB侧)均明显小于治疗前(P<0.01),两组间比较均无显著差异。两组治疗后VAS评分较治疗前均明显降低(P<0.01),两组间比较无明显差异。两组治疗均有效,总有效率无显著性差异。两组有效患者的疗程相比有显著性差异(P<0.01)。结论 SGB联合电针治疗偏头痛效果显著,并可明显缩短疗程,疗效确切。

Objective To observe the effect of stellate ganglion block （SGB） combined with electro acupuncture for the treat ment of migraine and cerebral blood flow changes. Methods 60 cases of migraine were randomly divided into 2 groups,30 cases in each group. The control group was treated with SGB, the experimental group underwent SGB＋ electroacupuncture. The bilateral carotid artery hemodynamic parameters of patients were measured by color Doppler ultrasonic diagnostic apparatus at the time be- fore and after treatment. The pain severity and curative effect were measured by VAS. The vital signs and cerebral blood flow were monitored. Results The cervical artery D （SGB side） of patients after treatment in two groups were significantly larger than those of patients before treatment （P〈0.01）. The cervical carotid artery RI （SGB side） was significantly smaller than that of patients before treatment （P〈0.01）, and there was no significant difference between the two groups. Compared with before treatment, VAS score decreased significantly after treatment （P〈0.01）, and there was no difference between the two groups. The treatment was ef- fective, and the total efficiency had no significant difference. While course of treatment was significantly different between the two groups（P〈0.01）. Conclusion SGB combined with electroacupuncture for treatment of migraine has obvious effect,and can shorten the course of treatment.