超声引导下颈2神经根阻滞联合激痛点针刺治疗颈源性头痛临床观察

Clinical observation on the treatment of cervicogenic headache by ultrasound-guided cervical 2 nerve root block combined with

摘要:

目的 比较超声引导下使用地塞米松棕榈酸脂注射液（激素类药物与局麻药物混合液）阻滞颈2 神经根联合激痛点针刺与单纯超声下阻滞治疗颈源性疼痛疗效对比。方法 回顾性分析2020年11月-2021年8月在南京市妇幼保健院疼痛科收治的30例颈源性疼痛的患者，根据患者治疗方案分为联合组（15例）与参照组（15例）。通过比较治疗前后头痛程度、头痛持续时间、头痛频率、双侧椎动脉的血流情况，并评估两组治疗方式的有效率。结果 联合组在改善头痛程度、头痛持续时间、头痛频率、双侧椎动脉的血流情况显著优于参照组，两组治疗前后比较P均＜0.05，差异具有统计学意义。结论 超声引导下颈2神经根阻滞联合激痛点针刺是治疗颈源性疼痛安全有效的方式，其远期的疗效值得肯定。

Abstract:

Objective To compare the efficacy of ultrasound-guided injection of dexamethasone palmitate (a mixture of hormones and local anesthesia) in the treatment of cervical pain by blocking 2 nerve roots combined with acupuncture at the stimulating point and ultrasound alone in the treatment of cervical pain. Methods Thirty patients with cervical pain admitted to the pain Department of Nanjing Maternal and Child Health Hospital from November 2020 to August 2021 were retrospectively analyzed and divided into a combination group (15 cases) and a reference group (15 cases) according to the treatment plan. The degree of headache, duration of headache, frequency of headache, bilateral vertebral artery flow before and after treatment were compared, and the effective rate of the two groups was evaluated. Results The combined group was significantly better than the reference group in improving the degree of headache, the duration of headache, the frequency of headache and the blood flow of bilateral vertebral arteries, P < 0.05 before and after treatment, and the difference was statistically significant. Conclusion Ultrasound-guided cervical 2 nerve root block combined with acupoint acupuncture is a safe and effective way to treat cervical pain, and its long-term efficacy is worthy of recognition.