Wang Yeming, Feng Tengchen, Li Shutie, Li Ning, Yang Zhanlong, Sun Xiaojia, Li Fulong
Department of Anesthesiology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei 075000, China.
Department of Geriatrics, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei 075000, China.
Evid Based Complement Alternat Med. 2022 Aug 22;2022:7696251. doi: 10.1155/2022/7696251. eCollection 2022.
Angioneurotic headache is a common headache type in clinical treatment. At present, patients with nervous headache are mainly treated with oral western medicine in clinic, but it is usually difficult to obtain the ideal effect. In this study, we analyzed the effects of continuous lidocaine infusion through an ultrasound-guided cervical sympathetic ganglia (SG) catheter on cerebral hemodynamics and thermal imaging characteristics of head and neck in patients with angioneurotic headache and explored the clinical feasibility of this scheme. The results show that continuous infusion of lidocaine under ultrasound-guided SG catheterization can alleviate headache in patients with angioneurotic headache, which may be related to improving cerebral hemodynamics.
血管神经性头痛是临床治疗中常见的头痛类型。目前，临床上神经性头痛患者主要采用口服西药治疗，但通常难以取得理想效果。在本研究中，我们分析了超声引导下经颈交感神经节（SG）导管持续输注利多卡因对血管神经性头痛患者脑血流动力学及头颈部热成像特征的影响，并探讨了该方案的临床可行性。结果表明，超声引导下SG导管置入持续输注利多卡因可缓解血管神经性头痛患者的头痛症状，这可能与改善脑血流动力学有关。
