不同药物行神经阻滞治疗颈源性头痛疗效比较

目的比较得宝松、曲安奈德和来比林行神经阻滞治疗颈源性头痛的疗效。方法60例颈源性头痛患者随机分为3组,每组20例,分别应用得宝松、曲安奈德和来比林配成利多卡因浓度为0.4%的消炎镇痛液,根据体征行枕大、枕小、耳大神经或C2横突阻滞,每个穿刺点注射3ml。治疗前后对3组患者进行疼痛程度数字评分(NRS)和颈部活动度(ROM)评价。结果治疗后,3组患者的NRS和ROM评分均较治疗前明显改善(P<0.01);得宝松组和曲安奈德组相比较,疗效无显著性差异,但两组均明显优于来比林组(P<0.01)。结论得宝松或曲安奈德行神经阻滞可明显缓解颈源性头痛的疼痛程度。

Comparison of Effects of Nerve Block Using Diprospan, Triamcinolone and Lysinipirium on Cervicogenic Headache

Objective To compare the effects of nerve block using diprospan, triamcinolone and lysinipirium on cervicogenic headache (CEH).Methods Sixty CEH patients were randomly divided into three groups (20 cases in each group), treated by occipital nerve block and C2 neural blockade with diprospan, triamcinolone and lysinipirium respectively, combined with a mixture of 0.4% lidocaine. All patients in three groups were evaluated by numeric rating scales (NRS) for pain degree and range of motion of the neck (ROM) before and after the nerve block.Results The scores of NRS decreased significantly and ROM improved in all groups after treatment ( P<0.01). There were no significant differences between diprospan group and triamcinolone group, but these two groups had a better effect than lysinipirium group ( P<0.01).Conclusion Nerve block using diprospan and triamcinolone can obtain a significant effect in the treatment of CEH.