《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 866-867.

• 临床观察 • 上一篇    下一篇

平衡镇痛治疗重度紧张型头痛的临床观察

王涛1a;刘文敏1b;赵继宗1a   

  1. 1.首都医科大学附属北京天坛医院,a.神经外科;b.麻醉科，北京市 100050
  • 收稿日期:2009-05-19 出版日期:2009-09-01 发布日期:2009-09-01
  • 通讯作者: 赵继宗

Balanced Analgesia for Severe Tension-type Headache: 32 Cases Report

WANG Tao,LIU Wen-min,ZHAO Ji-zong   

  1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2009-05-19 Published:2009-09-01 Online:2009-09-01

PDF (PC)

被引次数

17

摘要： 目的 探讨应用得宝松行局部阻滞联合氨酚羟考酮口服平衡镇痛对重度紧张型头痛患者的疗效及副作用。方法 32例重度紧张型头痛患者应用得宝松配成利多卡因浓度为0.4%的消炎镇痛液，根据查体体征行局部阻滞，联合氨酚羟考酮片口服。观察治疗前后头痛程度（数字评分量表，NRS）、持续时间的变化，记录副作用发生情况。结果 治疗后头痛发作程度明显减轻，头痛持续时间明显缩短 (均P<0.01)，未见严重副作用发生。结论 局部阻滞联合氨酚羟考酮平衡镇痛对重度紧张型头痛有显著疗效。

关键词: 紧张型头痛, 神经阻滞, 羟考酮, 对乙酰氨基酚, 平衡镇痛

Abstract: Objective To investigate the therapeutic efficacy and side effect of regional blockade using diprospan combined with oxycodone and acetaminophen taking orally which called balanced analgesia on severe tension-type headache. Methods 32 patients diagnosed as severe tension-type headache were treated with regional blockade using diprospan mixed with 0.4% lidocaine, combined with oxycodone and acetaminophen. The severity of pain (using numeric rating scales, NRS) and the duration of headache were observed and the side effects were recorded. Results There was a significant decrease in the severity of pain and the duration of headache after treatment compared with those before (P<0.01). No serious side effects were observed. Conclusion The balanced analgesia therapy mainly including regional blockade and oxycodone and acetaminophen can be significantly effective on the severe tension-type headache.

Key words: tension-type headache, neural blockade, oxycodone, acetaminophen, balanced analgesia