颈椎椎旁神经脉冲射频联合颈椎椎旁神经阻滞治疗颈源性头痛的效果

Effect of Cervical Vertebra Paravertebral Nerve Pulse Radiofrequency Combined Cervical Vertebra Paravertebral Nerve Block in the Treatment of Cervicogenic Headache

目的:观察颈椎椎旁神经脉冲射频联合颈椎椎旁神经阻滞治疗颈源性头痛的效果。方法:选取2019年12月—2020年7月青岛大学附属泰安市中心医院住院治疗的60例颈源性头痛患者作为研究对象。根据随机数表法将其分成试验组和对照组,各30例。对照组给予颈椎椎旁神经阻滞及药物治疗。试验组给予颈椎椎旁神经脉冲射频联合颈椎椎旁神经阻滞治疗。比较两组治疗前、治疗后1周,3个月、6个月,1年的疼痛情况、偏头痛残疾程度评估问卷(MIDAS)评分,治疗后1周及治疗后1年的临床疗效,并发症、随访1年再次入院治疗率。结果:试验组治疗后1周、3个月、6个月及1年的视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。试验组治疗后1周、3个月、6个月及1年MIDAS评分均低于对照组,差异有统计学意义(P<0.05)。治疗后1周、1年,试验组临床疗效优于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义(χ^(2)=1.017,P=0.313)。试验组随访1年再次入院治疗率低于对照组,差异有统计学意义(χ^(2)=5.192,P=0.023)。结论:颈椎椎旁神经脉冲射频联合颈椎椎旁神经阻滞能提高颈源性头痛患者的临床疗效且疗效的维持时间更久,不增加并发症发生率。

Objective:To observe the effect of cervical vertebra paravertebral nerve pulse radiofrequency combined cervical vertebra paravertebral nerve block in the treatment of cervicogenic headache.Method:From December 2019 to July 2020,60 patients with cervicogenic headache who were hospitalized in Tai’an Central Hospital Affiliated to Qingdao University for treatment were selected as the research objects.According to the method of random number table,they were divided into test group and control group,with 30 cases in each group.The control group was given cervical vertebra paravertebral nerve block and drug treatment.The teat group was given the cervical vertebra paravertebral nerve pulse radiofrequency combined cervical vertebra paravertebral nerve block treatment.The pain status,migraine disability assessment questionnaire(MIDAS)score before treatment,1 week,3 months,6 months and 1 year after treatment,clinical efficacy of 1 week and 1 year after treatment,complications and readmission treatment rate of 1 year follow-up were compared between the two groups.Result:The visual analogue scale(VAS)scores of the teat group at 1 week,3 months,6 months and 1 year after treatment were lower than those of the control group,the difference was statistically significant(P<0.05).MIDAS scores of test group was lower than those of control group at 1 week,3 months,6 months and 1 year after treatment,the difference was statistically significant(P<0.05).One week and one year after treatment,the clinical efficacy of the test group were better than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(χ^(2)=1.017,P=0.313).The readmission treatment rate of 1 year follow-up in the test group was lower than that of the control group,the difference was statistically significant(χ^(2)=5.192,P=0.023).Conclusion:Cervical vertebra paravertebral nerve pulse radiofrequency combined cervical vertebra paravertebral nerve block can improve the clinical efficacy of patients with cervicogenic headache,and the efficacy can be maintained for a longer time without increasing the incidence of complication.