基础治疗联合超声引导下星状神经节阻滞联用于成人偏头痛的疗效评价

Evaluation of Curative Effect of Basic Therapy Combined with Ultrasound-Guided Stellate Ganglion Block for Adult Migraine

目的:探讨基础治疗联合超声引导下星状神经节阻滞联用于成人偏头痛的疗效。方法:收集2021年1月~2022年12月在本院接受治疗的成人偏头痛患者190例作为研究对象,经随机数字表法将入组的所有患者分为基础治疗组、联合治疗组各95例。对照组患者接受基础治疗,联合治疗组患者在基础治疗同时加入超声引导下星状神经节阻滞,持续治疗1个月。对比两组患者的整体疗效、生活质量、出院后偏头痛复发情况。结果:持续治疗1个月后,基础治疗组、联合治疗组患者的疗效分级差异有统计学意义(P<0.05)。联合治疗组患者的治疗总有效率高于基础治疗组患者,差异均有统计学意义(P<0.05)。联合治疗组患者的SF-36各个维度评分值分别高于基础治疗组患者,差异均有统计学意义(P<0.05)。出院后,联合治疗组患者的偏头痛月均发作次数少于基础治疗组患者,平均发作时间短于基础治疗组患者,差异均有统计学意义(P<0.05)。结论:成人偏头痛患者接受基础治疗联合超声引导下星状神经节阻滞,可有效提升近期治疗效果、优化生活质量、减少治疗后复发。

Objective:To investigate the efficacy of basic treatment combined with ultrasound-guided stellate ganglion block in adult migraine.Methods:A total of 190 adult migraine patients who received treatment in our hospital from January 2021 to December 2022 were collected as research objects.All the patients were divided into the basic treatment group and the combined treatment group with 95 cases each by random number table method.The control group received basic treatment,and the combined treatment group was treated with ultrasound-guided stele ganglion block for 1 month.The overall efficacy,quality of life and recurrence of migraine after discharge were compared between the two groups.Results:After continuous treatment for 1 month,there was a statistically significant difference in the therapeutic effect grade between the basic treatment group and the combined treatment group(P<0.05).The total effective rate of combined treatment group was higher than that of basic treatment group,and the differences were statistically significant(P<0.05).The SF-36 scores of the combined treatment group were higher than those of the basic treatment group,and the differences were statistically significant(P<0.05).After discharge,the average number of migraine attacks in the combined treatment group was lower than that in the basic treatment group,and the average attack time was shorter than that in the basic treatment group,with statistical significance(P<0.05).Conclusion:Adult migraine patients receiving basic therapy combined with ultrasound-guided stellate ganglion block can effectively improve the short-term treatment effect,optimize the quality of life,and reduce the recurrence after treatment.