星状神经节阻滞联合浮针治疗偏头痛

发布时间：2018-10-09 08:18

【摘要】：目的探讨星状神经节阻滞(SGB)联合浮针(FN)治疗偏头痛的临床疗效。方法 60例偏头痛患者随机均分为SGB联合FN组(A组)和单纯FN组(B组)。两组均以每2天治疗一次,5次为一疗程。彩色多普勒超声诊断仪测量两组治疗前后头痛侧颈总动脉和椎动脉血流动力学参数:血管内径(D),血流量(BF),阻力指数(RI),峰值流速(PKV)等。VAS评估患者的疼痛程度。同时观察两组治疗后的不良反应。治疗后1、2、6个月随访。结果两组治疗前颈总动脉RI均明显高于治疗后(P0.05),椎动脉治疗前后差异无统计学意义。两组治疗前颈总动脉PKV明显低于治疗后(P0.05),椎动脉治疗前后差异无统计学意义。两组治疗后VAS较治疗前明显降低(P0.05)。两组有效率均为93%。结论 SGB联合FN治疗偏头痛较单纯FN疗效维持时间长。
[Abstract]:Objective to investigate the clinical effect of stellate ganglion block (SGB) combined with floating acupuncture (FN) on migraine. Methods 60 patients with migraine were randomly divided into SGB combined with FN group (group A) and simple FN group (group B). The two groups were treated once every 2 days for 5 times as a course of treatment. The hemodynamic parameters of common carotid artery and vertebral artery were measured by color Doppler ultrasound before and after treatment in two groups: vascular diameter (D), blood flow (BF), resistance index (RI), peak velocity (PKV) et al. At the same time, the adverse reactions of the two groups after treatment were observed. The patients were followed up for 2 days and 6 months after treatment. Results the RI of common carotid artery was significantly higher in the two groups before and after treatment than that after treatment (P0.05), and there was no significant difference between the two groups before and after treatment. The PKV of common carotid artery in the two groups was significantly lower than that after treatment (P0.05), and there was no significant difference between the two groups before and after treatment. After treatment, VAS in both groups was significantly lower than that before treatment (P0.05). The effective rate of both groups was 933. Conclusion the effect of SGB combined with FN on migraine is longer than that of FN alone.
【作者单位】：南京医科大学附属脑科医院麻醉科;南京浮针医学研究所;
【分类号】：R747.2;R246.6

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