【摘要】 目的 探究超声引导下星状神经节阻滞联合颈后肌群肌筋膜触发点灭活对颈源性头痛的影响。方法 回顾性选取医院2019年7月至2022年12月119例颈源性头痛患者作为研究对象，按照治疗方案不同分为对照组（59例）与观察组（60例）。对照组采用超声引导下星状神经节阻滞治疗，观察组在此基础上联合使用颈后肌群肌筋膜触发点灭活治疗。比较2组临床疗效、治疗前后疼痛程度、颈椎活动度、颈椎功能障碍程度及血清学指标水平。结果 与对照组相比，治疗后观察组医学结局研究用疼痛量表（MOSPM）评分降低更明显（P<0.05）。与对照组相比，观察组前屈、后伸、左右侧屈及左右旋转的最大活动度扩大更明显（P<0.05）。与对照组比较治疗后观察组颈椎功能障碍程度改善更明显（P<0.05）。与对照组比较，观察组治疗后血清白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、5-羟色胺（5-HT）水平下降更明显（P<0.05）。与对照组比较，观察组治疗结束时、治疗结束后3个月时、治疗结束后6个月时临床疗效更优（P<0.05）。观察组临床疗效明显优于对照组（P<0.05）。结论 超声引导下星状神经节阻滞联合颈后肌群肌筋膜触发点灭活在缓解疼痛、改善颈椎活动度、减轻功能障碍、改善血清学指标方面具有应用价值。更多还原

【Abstract】 Objective To explore the effect of ultrasound-guided stellate ganglion block combined with myofascial trigger point inactivation in the posterior cervical muscle group on cervical headache. Methods A retrospective study was conducted on 119 patients with cervical headache from July 2019 to December 2022 in a hospital. They were divided into a control group( n =59) and an observation group(n =60) according to different treatment plans. The control group received ultrasound-guided stellate ganglion block treatment, while the observation group received a combination of neck posterior muscle group myofascial trigger point inactivation treatment. The clinical efficacy, degree of pain before and after treatment, cervical range of motion, degree of cervical dysfunction, and serum levels were compared between the two groups. Results Compared with the control group,the observation group showed a more significant decrease in the MOSPM score for medical outcome studies after treatment(P<0.05). Compared with the control group, the observation group showed a more significant increase in the maximum range of motion for forward flexion, backwards extension, left and right lateral flexion, and left and right rotation(P<0.05). Compared with the control group, the observation group showed a more significant improvement in the degree of cervical spine dysfunction after treatment( P<0.05). Compared with the control group, the serum levels of interleukin-8(IL-8), tumor necrosis factor-α(TNF-α) and 5-hydroxytryptamine(5-HT) in the observation group were significantly decreased after treatment( P<0.05). Compared with the control group, the observation group showed better clinical efficacy at the end of treatment, 3 months after treatment, and 6 months after treatment(P<0.05). The clinical efficacy of the observation group was significantly better than that of the control group(P<0.05). Conclusion The combination of ultrasound-guided stellate ganglion block and inactivation of the trigger points of the posterior cervical muscle and fascia has practical value in relieving pain, improving cervical range of motion, reducing functional impairment, and improving serological indicators.更多还原