王慧颖++++++李红亮++++++王保国

    [摘要] 目的 觀察星状神经节阻滞(SGB)治疗偏头痛的有效性和安全性及其对头颈部动脉血流动力学的影响。 方法 选取2014年6月～2015年1月首都医科大学三博脑科医院疼痛科诊治的符合偏头痛诊断标准的80例患者，采用疼痛数字评分法(NRS)评估疼痛度，并记录术后并发症，术后6个月评估疗效。对双侧颈动脉及颅内动脉行经颅多普勒超声检测并记录其血流动力学参数。 结果 与SGB术前比较，术后NRS评分明显降低，差异有统计学意义(P 0.05)。SGB后，80例患者中声音嘶哑6例(7.50%)(休息1 h内完全消失)，一过性上肢麻木2例(2.50%)，臂丛神经阻滞3例(3.75%)，穿刺部位疼痛4例(5.00%)，异物感3例(3.75%)。 结论 SGB治疗偏头痛安全、有效；SGB缓解偏头痛症状可能主要是通过明显降低颈外动脉及颈总动脉血管阻力、加快其血流速度、轻度降低颅内动脉血管阻力而实现的。

    [关键词] 偏头痛；星状神经节阻滞；有效性；安全性；血流动力学

    [中图分类号] R747.2 [文献标识码] A [文章编号] 1673-7210(2017)07(c)-0025-05

    [Abstract] Objective To investigate the effectiveness and safety of stellate ganglion block (SGB) in the treatment of migraine and its influence on the hemodynamics of intracranial and cervical arteries. Methods Eighty patients met with the diagnostic criteria of migraine treated in Department of Pain， Sanbo Brain Hospital， Capital Medical University from June 2014 to January 2015 were selected. The pain degree was evaluated by numerical rating scale (NRS)， the postoperative complications were recorded， and the efficacy was evaluated after operation for 6 months. The bilateral cervical arteries and intracranial arteries were detected by transcranial doppler sonography to record the indexes of hemodynamics. Results Compared with those before SGB ......