密集型银质针结合星状神经阻滞治疗颈源性眩晕

Effect of Intensive Silver Needle Combined with Stellate Ganglion Block on Cervical Vertigo

目的:观察密集型银质针结合星状神经阻滞治疗颈源性眩晕的疗效。方法:将120例颈源性眩晕的患者随机分成两组,分别接受密集型银质针结合星状神经阻滞治疗组(I组)和星状神经阻滞治疗组(Ⅱ组)。在治疗前、治疗后1周及6个月对如下疗效指标进行评价,包括:疼痛视觉模拟评分(VAS)、疗效评定及复发率等指标。结果:两组治疗后VAS值均有明显改善,I组治疗后的VAS值明显低于Ⅱ组,I组的优良率100%,Ⅱ组的优良率在70%~80%。1年后随访复发情况:Ⅱ组复发12例,I组0例。结论:该疗法能够有效提高颈源性眩晕的治疗效果,而且具有疗效稳定、安全性高、不良反应轻等优点。

Objective:To investigate therapeutic effect of intensive silver needle combined with stellate ganglion block(SGB)on cervical vertigo.Methods:120patients of cervical vertigo were randomly divided into two groups.Group I used intensive silver needle treatment combined with SGB,groupⅡused SGB only.Visual Analogue Scale(VAS),evaluation of therapeutic effects and recurrence rate were recorded at one week before treatment,one week and six months after treatment.Results:The results demonstrated that:both groups had significantly improved in VAS pain score after treatment(P<0.05).The VAS rate of group I was obviously inferior to groupⅡafter treatment.The excellent and good rate of group I was100%;groupⅡwas70%-80%.After one year's follow-up,it showed that:12cases relapsed in groupⅡ,while zero case in group I.Conclusion:It suggests that this method is characterized by the advantages of stable efficacy,high safety,low adverse reactions in the treatment of cervical vertigo.