【摘要】 目的:探讨硬膜外腔内连续注射利多卡因与氟美松对颈源性头痛的治疗效果。方法:门诊治疗或收住院的颈源性头痛患者60例,所有患者排除其他神经系统及躯体疾病导致的头痛。随机分为两组,硬膜外腔注射组,即硬膜外腔内连续注射利多卡因和氟美松组;颈2神经根阻滞治疗组,即在患侧颈2横突处单次注射利多卡因和缓释氟美松组。比较两组治疗前、治疗后1周、治疗后1个月、3个月、6个月头痛程度VAS评分,补救药物曲马多的消耗剂量,患者对治疗的总体评分情况。结果:两组治疗后1周、1个月、3个月与治疗前相比较差异具有显著性(P<0.05);6个月后评分与治疗前相比较差异有显著性,而颈2神经根阻滞组与治疗前相比较差异无显著性,两组之间比较差异有显著性(P<0.05)。硬膜外腔注射组治疗后前3个月内曲马多消耗剂量均低于C组,差异具有显著性(P<0.05)。6个月后两组患者对治疗的总体评分比较差异具有显著性(P<0.05)。结论:硬膜外腔内连续注射利多卡因与氟美松对颈源性头痛的治疗效果确切,比颈2神经根单次阻滞效果好且较持久。更多还原

【Abstract】 Objective:Cervicogenic headache(CGH) is a relatively common form of headache stemming from the neck structures,our purpose is to evaluate the effectiveness of epidural corticosteroid and local anesthetic blockade in cervicogenic headache.Methods:60 patients suffering from cervicogenic headache were divided into two groups randomly,One group received epidural corticosteroid and local anesthetic continuous blockade(groupⅠ),and the other group received C2 nerve single blockade(groupⅡ).Pain was assessed using the visual analog scale(VAS).Results:The two methods were effective in reducing the VAS in one week,one month,three month,but VAS in control group were higher than that in groupⅡ.Analgesic consumption in groupⅠwas lower than that in groupⅡ.Conclusion:The effectiveness of epidural corticosteroid and local anesthetic blockade in cervicogenic headache is better and longer than C2 nerve single blockade.更多还原