颈源性头痛患者行枕下肌群筋膜松解联合颈2背根节射频的应用效果研究

Study on the effect of suboccipital muscle fascia release combined with radiofrequency of cervical 2 nerve roots in patients with cervicogenic headache

摘要:

目的:探究颈源性头痛患者行枕下肌群筋膜松解联合颈2神经根射频的应用效果。方法:回顾性分析本院于2022年2月至2024年6月期间收治的颈源性头痛84例,按照治疗方案的不同,将其分为常规组(颈2背根神经节射频治疗)与研究组(枕下肌群筋膜松解联合颈2神经根射频),各42例,对比研究。结果:研究组较常规组的总治疗有效率高,即[40(95.24)vs33(78.57),X2=5.126,P=0.000]差异存在统计学意义。两组各评分无显著性差异(P>0.05);治疗后,研究组的VAS评分、ROM评分及NDI评分明显低于常规组(P<0.05)。治疗前,两组颈部血流动力学指标无显著性差异(P>0.05);治疗后与常规组相比,研究组的LVA Vm、BAVm及RVAVm明显升高,RI明显降低,差异存在统计学意义(P<0.05)。本研究治疗过程中,研究组与常规组均未发生明显的不良反应情况。

Abstract:

Objective: To investigate the effect of suboccipital muscle fascia release combined with radiofrequency of cervical 2 nerve roots in patients with cervicogenic headache. Methods: 84 cases of cervicogenic headache admitted to our hospital from February 2022 to June 2024 were retrospectively analyzed. According to different treatment plans, they were divided into the conventional group (radiofrequency therapy of cervical 2 dorsal root ganglion) and the research group (suboccipital fascia release combined with radiofrequency of cervical 2 nerve root), 42 cases in each group, for comparative study. Results: The total effective rate of the study group was higher than that of the conventional group, that is, the difference was statistically significant [40 (95.24) vs33 (78.57),X2=5.126,P=0.000]. There was no significant difference in scores between the two groups (P>0.05). After treatment, the VAS score, ROM score and NDI score of the study group were significantly lower than those of the conventional group (P<0.05). Before treatment, there was no significant difference in neck hemodynamic indexes between the two groups (P>0.05). After treatment, LVA Vm, BAVm and RVAVm in the study group were significantly increased, while RI was significantly decreased, with statistical significance (P<0.05). In the course of treatment in this study, no obvious adverse reactions occurred in the study group and the conventional group.