C-型臂引导下阻滞复位术治疗颈源性头痛的临床对照研究

doi:10.3969/j.issn.1006-7795.2014.01.004

首都医科大学学报 ›› 2014, Vol. 35 ›› Issue (1): 13-17.doi: 10.3969/j.issn.1006-7795.2014.01.004

C-型臂引导下阻滞复位术治疗颈源性头痛的临床对照研究

何明伟¹, 曾庆文², 刘景³, 刘长信³, 倪家骧¹

1. 首都医科大学宣武医院疼痛科, 北京 100053;
2. 黑龙江省明水县人民医院疼痛科, 黑龙江明水县 151700;
3. 北京中医药大学东直门医院按摩疼痛科, 北京 100048

收稿日期:2013-12-20 出版日期:2014-02-21 发布日期:2014-02-21
通讯作者: 倪家骧 E-mail:nijiaxiang@263.com
基金资助:
北京市中医药局科技发展基金（303-01-006-0026）。

Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm

He Mingwei¹, Zeng Qingwen², Liu Jing³, Liu Changxin³, Ni Jiaxiang¹

1. Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2. Department of pain, Mingshui People's Hospital of Heilongjiang Province, Mingshui 151700, Heilongjiang Province, China;
3. Department of pain massage, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100048, China

Received:2013-12-20 Online:2014-02-21 Published:2014-02-21
Supported by:
This study was supported by Beijing City Bureau of Chinese Medicine Science and Technology Development Fund (303-01-006-0026).

摘要/Abstract

摘要：

目的探讨C-型臂引导下高位颈椎旁阻滞联合手法复位治疗颈源性头痛的治疗效果。方法 60例颈源性头痛患者分为2组（A组31例，B组29例），A组接受C-型臂引导下颈2椎旁阻滞联合手法复位治疗，B组接受C-型臂引导下颈2椎旁阻滞注射治疗。分别于治疗前、治疗后1周、1个月和3个月进行疗效评价。结果治疗前、治疗后1周、1个月和3个月的视觉模拟评分（visual analogue scale，VAS）分别为：A组6.8±2.5、2.3±1.0、2.4±1.0和3.0±1.3；B组6.5±2.3、2.0±1.2、3.2±1.5和4.6±2.0。治疗后1周、1个月和3个月的优良率分别为：A组100%、93.5%、87.1%；B组96.5%、82.8%、68.9%，治疗后1、3个月组间比较，优良率差异有统计学意义（P<0.05）；治疗后1、3个月的平均VAS，A组明显低于B组，差异有统计学意义（P<0.05），各组无明显合并症发生。结论 C-型臂引导下高位颈椎旁阻滞联合手法复位治疗颈源性头痛疗效优于单纯高位颈椎旁阻滞，但其远期疗效有待于进一步探讨。

关键词: 颈源性头痛, C-型臂引导下颈2椎旁注射, 手法复位

Abstract:

Objective To study the effects of the upper cervical paravertebral injection combined with manipulative reduction guided by C-arm for the treatment of cervicogenic headache. Methods Sixty patients suffered from with cervicogenic headache, aged between 15 and 70 years were randomly divided into two groups(Group A 31patients; Group B 29patients), group A received C2 paravertebral injection combined with manipulative reduction guided by C-arm; B group only received upper cervical paravertebral injection. The efficacy and improvement of pain were compared.Results For group A, preoperation、1 week,1 month and 3 months postoperation, the pain scores on visual analogue scale(VAS)were 6.8±2.5、2.3±1.0、 2.4±1.0 and 3.0±1.3;the proportions of cases evaluated as"excellent" and "good" were 100%、93.5%、87.1%; respectively. For group B, the VAS scores were 6.5±2.3、2.0±1.2、3.2±1.5 and 4.6±2.0, the proportion of excellent and good was 96.5%、82.8% and 68.9% respectively. One month and 3 months after treatment,compared with group B, both the VAS and the proportions of cases with "excellent" and "good" were significantly different(P<0.05). Conclusion The effect of the treatment for cervicogenic headache, with upper cervical paravertebral injection combined with manipulative reduction guided by C-arm was better than that of the upper cervical paravertebral injection alone, but its long-term effect remains to be further explored.

Key words: cervicogenic headache, C2 paravertebral injection guided by C-arm, manipulative reduction

中图分类号:

R614.4

何明伟, 曾庆文, 刘景, 刘长信, 倪家骧. C-型臂引导下阻滞复位术治疗颈源性头痛的临床对照研究[J]. 首都医科大学学报, 2014, 35(1): 13-17.

He Mingwei, Zeng Qingwen, Liu Jing, Liu Changxin, Ni Jiaxiang. Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm[J]. Journal of Capital Medical University, 2014, 35(1): 13-17.

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C-型臂引导下阻滞复位术治疗颈源性头痛的临床对照研究

Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm

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