ONB疗法对青少年CHE患者认知功能改善的临床研究.docVIP

ONB疗法对青少年CHE患者认知功能改善的临床研究 　　【摘要】目的观察枕神经阻滞(ONB)治疗青少年颈源性头痛 (CHE)的效果及安全性, 并分析治疗前后患者认知功能的改善情况。方法选择近10年就诊的青少年颈源性头痛患者60例, 其中A组30例患者采用枕神经阻滞并常规药物及理疗, B组30例患者采用常规药物治疗及理疗。并在本市一中学随机抽取正常儿童30例作为对照组C组。结果在治疗后, A、B两组在认知功能及精神状况上均比治疗前有明显改善, 与C组比较, 差异有统计学意义(P005)；A组满意度较B组好。 结论适度进行枕神经阻滞对青少年颈源性头痛有着较好的临床价值, 值得在临床上推广应用。 　　【关键词】枕神经阻滞；青少年；头痛；认知功能 　　 　　Clinical research of occipital nerve block in improving cognitive function of adolescents with neck source headache HAN Guang-jing, ZHANG Jian-zhong. Dongying District People’s Hospital, Dongying 257000, China 　　【Abstract】#8195;Objective#8195;To observe the effect and safety of occipital nerve block (ONB) in the treatment of adolescents neck source headache(CHE), and analyze the improvement of cognitive function of patients before and after treatment. Methods#8195;Choosing 60 cases of adolescents neck source headache patients in resent ten years to our hospital and dividing them in to two groups, 30 cases for each group, group A treated with nerve block the pillow and conventional drugs and physical therapy, group Btreated with routine therapy and physical therapy. And in a city middle school randomly normal children in 30 cases as control group C. Results#8195;After treatment, cognitive function and mental status in group A and group B were obviously improved, but compared with group C, it still had obvious difference, P005; satisfaction of group A was better than group B. Conclusion#8195;The nerve block moderate for pillow on youth journal source headache has good clinical value, it is worth clinical promotion. 　　【Key words】#8195;Occipital nerve block; Adolescents; Have a headache; Cognitive function头痛是临床上常见的症状。现如今, 青少年患者发病率呈上升趋势, 近年头痛对患者认知功能的影响及损害正逐渐被认识, 因此, 临床治疗也逐渐得到重视, 本文就神经阻滞在颈源性头痛中的应用以及对患者认知功能的影响总结如下。 　　1资料与方法 　　1. 1一般资料本研究选取近10年在东营市就诊的60例青少年颈源性头痛患者, 患者的年龄在6~12岁, 平均(8.77±2.34)岁, 病程2个月~3年。均符合CHE国际头痛协会的诊断标准; 并排除焦虑、 抑郁和其他精神障碍等其他源性头痛, 并经颅脑影像学检查排除颅内器质性疾病。60例患者按有无进行神经阻滞治疗分为A、B两组, 两组患者在年龄、病因、发病时间上差异无统计学意义(P0.05), 具有可比性。选取的C组正常儿童年龄与