颈中交感神经节阻滞联合太极通天液治疗偏头痛临床研究  

Clinical Study of Middle Cervical Ganglion Block Combined with Tong-tian Liquid Therapy in Patients with Migraine

作　　者：黄增平[1] 吴华[1] 吴佳范 于会群[1] 郭跃华[1] 

机构地区：[1]广州中医药大学附属深圳市中医院,广东省深圳市518033 [2]深圳市蛇口联合医院

出　　处：《实用心脑肺血管病杂志》2006年第9期692-693,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨颈中交感神经节阻滞(MCGB)联合太极通天液口服治疗偏头痛的效果。方法将90例偏头痛患者随机分成A、B、C3组,A组太极通天液10ml口服,3次/d,连服1个月;B组患侧MCGB,1次/d,10次为1个疗程,间隔1周进行第2疗程,共2个疗程;C组联合应用A和B组的治疗方法。记录临床症状和体征的变化以判定疗效。3组治疗前及治疗结束、B组MCGB后20min,利用经颅多普勒超声(TCD)检测脑血管血流变化。结果A、B、C3组治疗前脑血管血流异常率分别为80·0%、83·3%、86·7%,治疗结束后脑血管血流异常率分别为43·3%、13·3%、10·0%,与治疗前比较差异均有显著性意义(P<0·01);3组患者疗效间差异有显著性意义(P<0·01)。结论MCGB能够有效纠正脑血管的舒缩功能失调,对偏头痛的治疗是一种简单、安全、有效的方法;联合太极通天液能提高偏头痛的治愈率。Objective To investigate the clinical efficacy of middle cervical ganglion block （MCGB） independently or combined with Tong- tian liquid in patients with migraine. Methods Ninety patients were randomly divided into three groups. In group A, 10ml of Tong- tian liquid was given three times per day for one month. In group B, patients were treated with MCGB. In group C, both MCGB and Tong - tian liquid were used. The symptoms and signs were observed to judge the efficacy. The cerebrovacular hemodymamic index was measured with Transeranial Color Doppler before and after treatment in each group beside at 20min after MCGB in group B. Results In the three groups, the abnormal rates of the cerebrovacular hemodymamic index were 80.0%, 83.3% and 86.7% respectively, and after treatment these rates decreased to 43.3%, 13.3% and 10. 0%, there had statistial differences. There were statistical differences between the three groups. Conclusion MCGB is an effective, simple and safe therapy on migraine by regulating the cerebral vasomotor function. MCGB combined with Tong- tian liquid can increase the curing rate.

关 键 词：偏头痛 颈中交感神经节阻滞 太极通天液 

分 类 号：R747.2[医药卫生—神经病学与精神病学]