高位颈神经阻滞联合臭氧注射治疗颈源性头痛的疗效分析  

Clinical study of upper cervical nerve block combined with injection of ozone for the treatment of cervicogenic headache

作　　者：何明伟[1] 于密生 郭玉娜[1] 王琦[1] 李玄英[1] 刘京杰[1] 岳建宁[1] 马骏[1] 倪家骧[1] 段红光[2] 

机构地区：[1]首都医科大学宣武医院疼痛科,北京100053 [2]首都医科大学宣武医院康复科,北京100053 [3]冀中能源井陉矿业集团有限公司总医院疼痛科

出　　处：《中国医药》2013年第5期626-628,共3页China Medicine

摘　　要：目的探讨高位颈神经阻滞联合臭氧注射治疗颈源性头痛的效果。方法60例颈源性头痛患者完全随机分为A组（31例）和B组（29例）。A组接受颈2、3神经阻滞联合臭氧注射治疗，B组仅接受颈2、3神经阻滞治疗。分别于治疗后1周和3、6个月进行疗效评价。结果治疗后1周、3个月和6个月的视觉模拟评分法（VAS）评分A组分别为（1．3±0．4）、（1．8±1．2）和（2．3±1．4）分，B组分别为（1．5±1．1）、（3．4±1．3）和（4．3±2．2）分，A组治疗后3、6个月VAS评分均明显低于B组，差异均有统计学意义（均P〈0．05）。治疗后1周及3、6个月A组优良率分别为100．0％（31例）、87．1％（27例）、80．6％（25例），B组分别为100．0％（29例）、72．4％（21例）、62．1％（18例），A组治疗后3、6个月优良率均高于B组，差异均有统计学意义（均P〈0．05）。各组无明显并发症发生。结论高位颈神经阻滞联合臭氧注射治疗颈源性头痛疗效优于单纯高位颈椎旁神经阻滞治疗，但其远期疗效有待于进一步探讨。Objective To study the effect of the upper cervical nerve block combined with injection of o- zone for the treatment of cervicogenic headache. Methods Sixty patients suffering from cervicogenic headache were randomly divided into group A（ n = 31 ）and group B（ n = 29）. Group A received C2, 3 nerve block combined with injection of ozone ; group B received upper cervical nerve block. The efficacy and improvement of pain were com- pared. Results For group A, at 1 week, 1 month and 3 months after opeartaion, the visual analogue scale （VAS） scores were （ 1.3 ± 0.4）, （ 1.8 ±1.2） and （3.1 ± 1.4） scores; the excellent and good rate was 100.0% （31/31 ）, 87.1% （27/31）, 80.6% （25/31） respectively. For group B, the VAS scores were （ 1.5 ± 1.1 ） , （3.4 ± 1.3 ） and （4.3±2.2） scores;the excellent and good rate was 100.0% （29/29）, 72.4% （21/29）, 62.1% （18/29）, re- spectively. Compared with group B, 3 months and 6 months after treatment, the VAS in group A were significantly reduced, the excellent and good rate were higher （ P 〈 0. 05 ）. Conclusion Upper cervical nerve block combined with injection of ozone in treatment of cervicogenic headache is better than the upper cervical nerve block alone, but its long-term effect remains to be explored.

关 键 词：颈源性头痛 神经阻滞 臭氧注射 

分 类 号：R681.5[医药卫生—骨科学]