《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (06): 511-512.

• 专题 • 上一篇    下一篇

急性颅脑损伤后紧张型头痛的综合治疗方法

王涛; 李京生; 赵继宗; 王集生   

  1. 首都医科大学附属北京天坛医院神经外科,北京市 100050
  • 收稿日期:2008-05-18 出版日期:2008-06-01 发布日期:2008-06-01

Combined Therapy of Tension-type Headache after Acute Brain Trauma

WANG Tao, LI Jing-sheng, ZHAO Ji-zong, et al   

  1. The Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2008-05-18 Published:2008-06-01 Online:2008-06-01

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摘要： 目的探讨急性颅脑损伤后紧张型头痛的综合治疗效果。方法对14例轻度颅脑损伤后出现重度头痛、按照国际头痛协会诊断标准确定为紧张型头痛的患者,根据查体体征行神经及痛点阻滞,应用曲安奈德10mg配成利多卡因浓度为0.4%的消炎镇痛液,选择相应的压痛点每个点穿刺注射3ml,配合口服塞来昔布和乙哌立松,观察治疗前后头痛程度和持续时间的变化。结果治疗后,患者的头痛发作程度明显减轻,头痛持续时间明显缩短(P<0.01)。结论以神经阻滞为主的综合治疗方法对颅脑损伤后紧张型头痛有明显的疗效。

关键词: 紧张型头痛, 神经阻滞, 治疗

Abstract: Objective To explore the effect of the combined therapy on tension-type headache after acute brain trauma.Methods Fourteen patients with mild brain trauma and complained severe headache diagnosed as tension-type headache were treated by nerve and pain points block with a mixture of 0.4% lidocaine, triamcinolone acetonide 10 mg accompanied by celecoxib and eperisone. After the block, the degree of pain severity and the duration of headache were observed and recorded. The therapeutic effects were evaluated with visual analogue scale (VAS).Results There was a significant decrease in the degree of pain severity and the duration of headache after treatment ( P<0.01).Conclusion The combined therapy mainly including nerve block has a significant effect on tension-type headache after acute brain trauma.

Key words: tension-type headache, nerve block, treatment