Department of Emergency Medicine, York Hospital, York, North Yorkshire, UK
Department of Emergency Medicine, York Hospital, York, North Yorkshire, UK.
Emerg Med J. 2024 Sep 25;41(10):635-636. doi: 10.1136/emermed-2024-214272.
A shortcut review of the literature was conducted to examine whether administering a sphenopalatine ganglion (SPG) block provides symptomatic relief in adult patients with acute migraine. 381 papers were found of which 4 included data on patients relevant to the specific clinical question, these are discussed in the paper. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of the best papers are tabulated. The clinical bottom line is that to date there is not enough evidence that a SPG block is likely to provide sustained symptomatic relief of acute migraine in the emergency setting. Further work is needed to establish if it can provide benefit for this patient group.
进行了文献的快速回顾，以研究在急性偏头痛的成年患者中施过节神经节后内侧支（SPG）阻滞是否能提供症状缓解。发现了 381 篇论文，其中 4 篇论文包含了与特定临床问题相关的患者数据，这些数据在论文中进行了讨论。最佳论文的作者、日期和出版国家、研究的患者群体、研究类型、相关结局、结果和研究弱点均列成表格。临床要点是，迄今为止，没有足够的证据表明 SPG 阻滞可能在急诊环境中为急性偏头痛患者提供持续的症状缓解。需要进一步的工作来确定它是否可以为这组患者带来益处。
