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低温等离子消融颈神经后支,,治疗颈源性头痛的效果及安全

材料写作网    时间: 2020-07-28 04:41:38     阅读:


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[摘要] 目的 探讨低温等离子消融颈神经后支治疗颈源性头痛(CEH)的临床效果。 方法 选择2017年7月~2018年1月就诊于首都医科大学宣武医院疼痛科的颈源性头痛患者40例,进行颈神经后支低温等离子消融手术。治疗前后均进行视觉模拟评分(VAS)和临床疗效评估,比较治疗前、后疼痛评分及临床治疗效果,同时观察不良反应。 结果 术后1 d、1周、1个月、3个月VAS评分均低于术前(均P < 0.05),术后1 d、1周、1个月、3个月總有效率分别为92.5%、95.0%、95.0%、87.5%,各时间点总有效率比较,差异均无统计学意义(P > 0.05)。术后患者6例出现麻木,1例耳鸣,其他均无严重不良反应。 结论 低温等离子消融颈神经后支是治疗颈源性头痛的有效方法,效果显著,且未见严重不良反应。

[关键词] 低温等离子消融;颈源性头痛;颈神经后支

[中图分类号] R747 [文献标识码] A [文章编号] 1673-7210(2019)09(a)-0107-04

[Abstract] Objective To investigate the clinical effect of low temperature plasma ablation on cervical headache (CEH). Methods A total of 40 patients with cervical headache who were admitted to the Pain Management Department of Xuanwu Hospital, Capital Medical University from July 2017 to January 2018 were selected, low temperature plasma ablation of posterior cervical nerve was performed. Visual analogue scale (VAS) and clinical efficacy were used before and after treatment, the pain scores before and after treatment and clinical effects were compared, and the adverse reactions were observed. Results VAS scores at 1 day, 1 week, 1 month and 3 months after operation were lower than those before operation (all P < 0.05), the total effective rate were 92.5%, 95.0%, 95.0% and 87.5% at 1 day, 1 week, 1 month and 3 months after the operat...

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