Ministry of Health Ankara Training and Research Hospital, Neurology Clinic, Ankara, Turkey.
Ministry of Health Ankara Training and Research Hospital, Neurology Clinic, Ankara, Turkey.
Clin Neurol Neurosurg. 2023 Aug;231:107826. doi: 10.1016/j.clineuro.2023.107826. Epub 2023 Jun 8.
The aim of our study was to determine the effects of greater occipital nerve block (GONB) with lidocaine on sleep characteristics in patients with chronic migraine.
Twenty female patients who underwent GONB with lidocaine were included in the study. The Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), Pre-Sleep Arousal Scale (PSAS), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Restless Legs Syndrome Severity Scale (RLSSS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and headache diary results before and after the treatment of the patients were compared.
We included 20 patients (all females) in our study. The mean age was 35.80 ± 8.82 years (range 24-50). After GON blockade, the number of days with pain (p < 0.001), duration of pain (p < 0.001), and Visual Analog Scale (VAS) score (p < 0.001) were significantly lower than before. After GONB, BDI (p = 0.007), BAI (p = 0.022), ISI (p = 0.009), and PSQI (p = 0.026) scores were significantly lower than before. After GONB, sleep quality was better than before (p = 0.035).
This study showed that GONB with lidocaine can improve sleep quality, insomnia, and symptoms of depression and anxiety while reducing migraine headache.
本研究旨在确定利多卡因枕大神经阻滞（GONB）对慢性偏头痛患者睡眠特征的影响。
本研究纳入了 20 名接受利多卡因 GONB 的女性患者。比较了治疗前后患者的匹兹堡睡眠质量指数（PSQI）、Epworth 嗜睡量表（ESS）、失眠严重程度指数（ISI）、睡前觉醒量表（PSAS）、睡眠障碍信念和态度量表（DBAS）、不宁腿综合征严重程度量表（RLSSS）、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和头痛日记结果。
我们纳入了 20 名患者（均为女性）。平均年龄为 35.80±8.82 岁（范围 24-50 岁）。GON 阻断后，疼痛天数（p<0.001）、疼痛持续时间（p<0.001）和视觉模拟评分（VAS）（p<0.001）均显著低于治疗前。GONB 后，BDI（p=0.007）、BAI（p=0.022）、ISI（p=0.009）和 PSQI（p=0.026）评分均显著低于治疗前。GONB 后睡眠质量较治疗前改善（p=0.035）。
本研究表明，利多卡因 GONB 可改善睡眠质量、失眠、抑郁和焦虑症状，同时减轻偏头痛头痛。
