Cook Jason, Flen Alexis, Holdren Sarah
The Family Health Centers, Asheville, NC, USA.
School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
J Med Access. 2025 May 21;9:27550834251337342. doi: 10.1177/27550834251337342. eCollection 2025 Jan-Dec.
Sphenopalatine ganglion (SPG) blocks may be effective and affordable treatments for acute migraine but are rarely used in the primary care setting, making them inaccessible treatment for those suffering from migraine.
To outline evidence for the use of SPG block in the treatment of acute migraine. To determine the feasibility and effectiveness of primary care in-office and at-home SPG block administration.
A retrospective chart review of patients receiving in-office or at-home SPG block to treat acute migraine was completed. Pre- and post-treatment pain measurements were the primary outcome, along with patient-reported adverse effects.
Results from this study revealed that 87% of SPG block administrations (via catheter and atomizer) resulted in pain relief with minimal adverse effects. Methods and materials for catheter and atomizer administration of SPG blocks are outlined, in addition to tips for integrating this service into primary care practices.
This study showed that SPG blocks may be administered effectively in primary care settings or at home with proper patient education and are an effective treatment modality to decrease pain associated with acute migraine.
蝶腭神经节（SPG）阻滞可能是治疗急性偏头痛的有效且经济的方法，但在初级保健环境中很少使用，这使得偏头痛患者无法获得这种治疗。
概述使用SPG阻滞治疗急性偏头痛的证据。确定在初级保健机构内及在家中进行SPG阻滞给药的可行性和有效性。
对接受机构内或家庭SPG阻滞治疗急性偏头痛的患者进行回顾性病历审查。治疗前和治疗后的疼痛测量是主要结果，同时还有患者报告的不良反应。
本研究结果显示，87%的SPG阻滞给药（通过导管和雾化器）可缓解疼痛，且不良反应最小。除了将这项服务纳入初级保健实践的小贴士外，还概述了导管和雾化器进行SPG阻滞给药的方法和材料。
本研究表明，在对患者进行适当教育的情况下，SPG阻滞可在初级保健机构或家中有效进行，是减轻急性偏头痛相关疼痛的一种有效治疗方式。
