颅脑手术后头痛的综合治疗效果  

Effect of Combined Therapy on Headache after Craniotomy

作　　者：王集生[1] 于书卿[1] 钱珂[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京市100050

出　　处：《中国康复理论与实践》2008年第6期517-518,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家重点基础研究发展计划(973计划)(No2007CB512503)

摘　　要：目的观察疼痛科协助下综合治疗颅脑手术后头痛的效果。方法将30例颅脑手术后颅内情况稳定但出现严重头痛的患者随机分为治疗组(n=15,疼痛科协助下行神经阻滞为主的综合治疗)和对照组(n=15,继续神经外科药物治疗)。对两组患者治疗前后疼痛的视觉模拟评分(VAS)、手术后至出院的住院天数以及医疗费用进行比较。结果与对照组比较,治疗组患者治疗后的VAS评分明显降低(P<0.01),手术后至出院的平均住院天数明显减少(P<0.01),检查费和药费明显降低(P<0.01),床位费亦降低(P<0.05)。结论疼痛科协助下对颅脑手术后头痛患者行神经阻滞为主的综合治疗可明显提高治疗效果,缩短住院时间,降低医疗费用。Objective To observe the effect of the combined therapy on headache after craniotomy. Methods 30 patients complained severe headache after craniotomy were divided into the treatment group （n=15, received the combined therapy mainly including nerve block） and control group （n=15, received professional medicine）. The visual analogue scale （VAS）, admission days after surgery, and medical fees of the patients in two groups were compared. Results The VAS scores of the patients in the treatment group decreased significantly after treatment （ P〈0.01） , the admission days after surgery significantly shortened （ P〈0.01）, and the fees of examination, medicine, and ward bed significantly decreased compared with the control group. Conclusion The combined therapy mainly including nerve block is effective on headache after craniotomy.

关 键 词：头痛 颅脑手术 治疗 

分 类 号：R441.1[医药卫生—诊断学]