超声引导下C2 C3脊神经后支注射松解治疗颈源性头疼

目的探究超声引导下C2、C3脊神经后支注射松解治疗颈源性头疼的临床效果。方法选取2016年1月至2018年9月接受治疗的168例颈源性头疼患者为观察对象,按照随机数表法将所有患者平均分为观察组和对照组,每组各84例。对照组患者接受颈源性头疼常规治疗方法,观察組急者接受超声引导下C2.C3脊神经后支注射松解治疗。比较两組患者治疗后1、3个月模拟视觉疼痛评分(VAS);比较两组患者治疗后1、3个月平均每周发作次数和持续时间,比较两组患者治疗后1.3个月日常生活能力量表(ADL)评分。结果VAS评分比较发现,治疗1、3个月后观察组患者VAS评分均低于对照组患者,疼病程度处于较低水平,差异有统计学意又(P<0.05)。发作次数和持续时间比较发现,治疗1、3个月后观察组患者平均每周发作次數、持续时间均低于对照组患者,差异有统计学意义(P<0.05)。ADL评分比较发现,治疗1、3个月后观察组患者ADL评分高于对照组患者,日常生活能力水平相对较高,差异有统计学意义(P<0.05)。结论超声引导下C2、C3脊神经后支注射松解应用于颈源性头疼的治疗具有良好的临床价值,能够降低患者疼痛和压痛程度,减少患者发作次数,有利于提高患者日常生活质量。

Objective To investigate the clinical effect of ultrasound—guided C2 and C3 in the treatment of cervical headache with posterior branch injection of spinal nerve.Methods 168 patients with cervical headache who were treated in our hospital from January 2016 to September 2018 were selected as the subjects,and all patients were divided into two groups on average according to random table method,and 84 cases were observed in the observation group and control group.The patients in the control group received the routine treatment of cervical headache,and the patients in the observation group were treated with ultrasound—guided C2 and C3 of the posterior branch of spinal nerve.The simulated visual Pain score(VAS)was compared between two groups of patients for 1 months and 3 months after treatment,compared with the average weekly seizures and duration of 1 months and 3 nionths after treatment in two groups of patients,3 months daily Living Ability Scale(ADL)score.Results The VAS score showed that the VAS scores of patients in the observation group were lower than those in the control group after 1 months and 3 months of treatment,the pain degree was low,and the difference of data was statistically significant P<0.05.The number and duration of seizures showed that the average weekly seizures and duration of the observation group were lower than those in the control group after 1 months and 3 months of treatment,and the difference of data was statistically significant P<0.05.The ADL score showed that the ADL score of the observation group was higher than that in the control group after 1 months and 3 months of treatment,and the level of daily living ability was relatively high,and the difierence of data was statistically significant P<0.05.Conclusion Ultrasound—guided C2 and C3 of posterior spinal nerve are used in the treatment of cervical headache,which can reduce the degree of pain and tenderness,reduce the number of seizures of patients,and improve the ability of patients to daily life.