超声引导下星状神经节阻滞治疗偏头痛的临床疗效  

Clinical Efficacy of Ultrasound-Guided Stellate Ganglion Block in the Treatment of Migraine

作　　者：李方卿 邱小凤[1] 张文强[1] 梁郁[1] 宋金毅 黄闽湘 LI Fang-qing;QIU Xiao-feng;ZHANG Wen-qiang;LIANG Yu;SONG Jin-yi;HUANG Min-xiang(Pain Department of Sanming Integrated Traditional Chinese and Western Medicine Hospital,Fujian Province,Fujian Sanming 365000)

机构地区：[1]福建省三明市中西医结合医院疼痛科,福建三明365000

出　　处：《中国医疗器械信息》2024年第4期36-38,共3页China Medical Device Information

摘　　要：目的:探讨超声引导下星状神经节阻滞治疗偏头痛的有效性及安全性。方法:对2020年7月~2022年6月本院收治的因长期偏头痛拟行星状神经节阻滞的84例患者进行回顾性分析,将上述患者分成两组,超声组(n=42)和传统组(n=42)。超声组进行超声引导下星状神经节阻滞,传统组根据解剖结构进行传统盲穿法星状神经节阻滞。记录两组患者治疗前、治疗后头痛程度(VAS评分)、发作频度、持续时间、治疗有效率及不良反应。结果:与治疗前比较,治疗后两组患者偏头痛症状均有明显改善,头痛VAS评分明显降低、发作频度减少、持续时间缩短(P<0.05);且有效率超声组优于传统组(P<0.05),不良反应低于传统组(P<0.05)。结论:超声引导下星状神经节阻滞对偏头痛患者疗效显著,不良反应少。Objective:To explore the effectiveness and safety of ultrasound-guided stellate ganglion block in the treatment of migraine.Methods:A retrospective analysis was conducted on 84 patients admitted to our hospital from July 2020 to June 2022 with suspected planetary ganglion block due to long-term migraine.The above patients were divided into two groups,the ultrasound group(n=42)and the traditional group(n=42).The ultrasound group underwent ultrasound-guided stellate ganglion block,while the traditional group underwent traditional blind puncture stellate ganglion block based on anatomical structure.Record the degree of headache(VAS score),attack frequency,duration,treatment effectiveness,and adverse reactions of two groups of patients before and after treatment.Results:Compared with before treatment,the symptoms of migraine in both groups of patients improved significantly after treatment,with a significant decrease in headache VAS score,frequency of attacks,and duration(P<0.05);And the effective rate of the ultrasound group was better than that of the traditional group(P<0.05),and the adverse reactions were lower than that of the traditional group(P<0.05).Conclusion:Ultrasound guided stellate ganglion block has a significant therapeutic effect on migraine patients with minimal adverse reactions.

关 键 词：超声引导 星状神经节阻滞 偏头痛 

分 类 号：R747.2[医药卫生—神经病学与精神病学]