摘要
目的：分析颈2脊神经节脉冲射频术治疗老年人颈源性头痛的临床疗效.方法;将56例60岁以上的颈源性头痛患者随机分成两组：颈2脊神经节脉冲射频治疗组（Ⅰ组）,颈2脊神经节阻滞治疗组（Ⅱ组）,各28例,随访12个月,对两组患者术前和术后1、3d,1周,1、3、6、12个月的疼痛程度数字评分（NRS）和颈部活动度结果（ROM）进行比较.结果：两组患者术后NRS和ROM均较术前明显改善（P＜0.05）,术后12个月NRS Ⅰ组下降至（4.1±0.9）,Ⅱ组下降至（5.0±1.1）;ROM Ⅰ组下降至（1.9±0.9）,Ⅱ组下降至（2.5±1.0）,Ⅰ组疗效明显优于Ⅱ组,存在统计学意义（P＜0.05）.全部患者无神经及动脉损伤和感染等并发症发生.结论：颈2脊神经节脉冲射频术治疗老年人颈源性头痛疗效显著,安全可靠.
Objective：To analyse the efficacy of pulsed radiofrequency applied to C2 dorsal root ganglion for the treatment of cervicogenic headache of the elderly.Methods：56 cases of over 60 years old with cervicogenic headache were randomly divided into pulsed radiofrequency treatment group （Group I） and nerve block treatment group （Group Ⅱ）.Both groups had 28 patients.All cases were followed up for 12 months and the patients＇ headaches were evaluated by numerical rating scale （NRS）,together with the and range of motion （ROM） of neck before treatment and 1 d,3 d,1 week,1,3,6 and 12 months after treatment.Results：The average NRS scores and ROM scores of all the patients were decreased significantly after the treatment.12 months after operation NRS decreased to （4.1 ±0.9） and （5.0±1.1） in group Ⅰ and group Ⅱ respectively.ROM decreased to （1.9±0.9） and （2.5±1.0） in group Ⅰ and group Ⅱ respectively.There was a better curative effect of Group Ⅰ with fewer complications such as nerve and arterial injury or infections than Group Ⅱ （P ＜ 0.05）.Conclusion：It is effect,safe and reliable to apply pulsed radiofrequency to C2 dorsal root ganglion in the treatment of cervicogenic headache of the elderly.
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2014年第3期155-159,共5页
Chinese Journal of Pain Medicine
基金
南京军区医药卫生科研资助项目(11MA0028)
关键词
颈源性头痛
颈2脊神经节
脉冲射频
老年人
Cervicogenic headache
C2 dorsal root ganglia
Pulsed electrical stimulation
old people
