枕大神经阻滞是治疗原发性头痛的有效方法吗?

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Buse Rahime Hasırcı Bayır, Gizem Gürsoy, Ceyhun Sayman, Gülbün Asuman Yüksel, Yılmaz Çetinkaya
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引用次数: 1

摘要

目的:头痛是最常见的健康问题之一,它严重降低了生活质量。本研究探讨了枕大神经阻滞对原发性头痛患者的疗效。方法:选取2017年3月至2018年6月在头痛门诊监测的53例患者,对其头痛类型、发作持续时间、发作频率、疼痛严重程度、镇痛药摄入等进行评估,并与随访第1、3、6个月的初始值进行比较。结果:研究组包括发作性偏头痛36例,紧张性头痛12例,慢性偏头痛4例,丛集性头痛1例。在偏头痛组,VAS评分、发作持续时间、每月发作次数和服用镇痛药的平均值在6个月随访结束时较初始值显著降低。TTH组VAS评分、发作持续时间、每月发作次数和服用镇痛药的平均值在3个月随访结束时均较初始值显著降低。由于12例患者中只有2例完成了6个月的随访,虽然6个月的数据有所减少,但发现其统计学意义不显著。结论:反复肾上腺素阻断是治疗偏头痛和TTH的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Greater occipital nerve block is an effective treatment method for primary headaches?

Objectives: Headache is one of the most common health problems, and it severely reduces the quality of life. The present study examines the efficacy of greater occipital nerve (GON) block in patients monitored for primary headaches.

Methods: The present study includes 53 patients monitored by the headache outpatient clinic from March 2017 to June 2018, evaluates them for headache type, attack duration, attack frequency, severity of pain, and analgesic intake and compares the initial values with the follow-up values at months 1, 3, and 6.

Results: The study group comprises 36 episodic migraine cases, 12 tension-type headache (TTH) cases, 4 chronic migraine cases, and 1 cluster headache case. In migraine group, VAS scores, attack durations, and the mean value of monthly number of attacks and analgesics taken significantly decrease compared to initial values at the end of the 6-month follow-up period. In TTH group, VAS scores, attack durations, and the mean value of monthly number of attacks and analgesics taken significantly decrease compared to initial values at the end of the 3-month follow-up period. Since only 2 of 12 patients completed the 6-month follow-up, although there was a decrease in the 6-month data, it was found to be statistically insignificant.

Conclusion: Repetitive GON block is an effective treatment method for migraine and TTH.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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