[枕大神经阻滞治疗偏头痛的效果]
[The results of greater occipital nerve block applied for migraine headache].
作者信息
Çatav Serdar, Alkaya Solmaz Filiz, Kırdemir Pakize
机构信息
Department of Anaesthesiology and Reanimation, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey.
出版信息
Agri. 2017 Jan;29(1):33-37. doi: 10.5505/agri.2016.57625.
OBJECTIVES
The aim of this study was to evaluate the efficacy of greater occipital nerve (GON) block in the treatment of migraine patients.
METHODS
This study included 28 patients diagnosed with migraine between 2014 and 2015. The GON block procedure was applied by administering 1.5 ml of 2% lidocaine 2 cm lateral and 2 cm inferior to the external occipital protuberance. The patients were evaluated in respect of VAS scores, attack frequency, attack duration and the need for analgesia before the procedure. These parameters were evaluated again at 1 week, 1 month and 3 months after the procedure.
RESULTS
The mean age of the patients was 42.21±10.13 years. The mean VAS score was 9.28±0.72 before the procedure and 2.96±2.16 at 1 week, 2.60±1.96 at 1 month and 1.75±1.37 at 3 months. The frequency of attacks was 9.42±4.51 before the procedure and, 5.42±3.30 at 1 month and 3.57±3.14 at 3 months.
CONCLUSION
GON block with 1.5 ml of 2% lidocaine is a safe, simple and effective treatment method for migraine headache.
目的
本研究旨在评估枕大神经（GON）阻滞治疗偏头痛患者的疗效。
方法
本研究纳入了2014年至2015年间诊断为偏头痛的28例患者。枕大神经阻滞操作是在枕外隆凸外侧2 cm和下方2 cm处注射1.5 ml 2%利多卡因。在操作前对患者的视觉模拟评分（VAS）、发作频率、发作持续时间和镇痛需求进行评估。在操作后1周、1个月和3个月再次评估这些参数。
结果
患者的平均年龄为42.21±10.13岁。操作前平均VAS评分为9.28±0.72，1周时为2.96±2.16，1个月时为2.60±1.96，3个月时为1.75±1.37。发作频率在操作前为9.42±4.51，1个月时为5.42±3.30，3个月时为3.57±3.14。
结论
1.5 ml 2%利多卡因进行枕大神经阻滞是治疗偏头痛性头痛的一种安全、简单且有效的治疗方法。
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