ONB疗法对青少年CHE患者认知功能改善的临床研究

目的观察枕神经阻滞（ONB）治疗青少年颈源性头痛（CHE）的效果及安全性,并分析治疗前后患者认知功能的改善情况。方法选择近10年就诊的青少年颈源性头痛患者60例,其中A组30例患者采用枕神经阻滞并常规药物及理疗,B组30例患者采用常规药物治疗及理疗。并在本市一中学随机抽取正常儿童30例作为对照组C组。结果在治疗后,A、B两组在认知功能及精神状况上均比治疗前有明显改善,与C组比较,差异有统计学意义（P〈005）;A组满意度较B组好。结论适度进行枕神经阻滞对青少年颈源性头痛有着较好的临床价值,值得在临床上推广应用。

Clinical research of occipital nerve block in improving cognitive function of adolescents with neck source headache

Objective To observe the effect and safety of occipital nerve block （ONB） in the treatment of adolescents neck source headache（CHE）, and analyze the improvement of cognitive function of patients before and after treatment.Methods Choosing 60 cases of adolescents neck source headache patients in resent ten years to our hospital and dividing them in to two groups, 30 cases for each group, group A treated with nerve block the pillow and conventional drugs and physical therapy, group B treated with routine therapy and physical therapy. And in a city middle school randomly normal children in 30 cases as control group C.Results After treatment, cognitive function and mental status in group A and group B were obviously improved, but compared with group C, it still had obvious difference,P〈005; satisfaction of group A was better than group B.Conclusion The nerve block moderate for pillow on youth journal source headache has good clinical value, it is worth clinical promotion.