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目的观察凯时注射液加星状神经节阻滞(SGB)治疗常规药物难以控制的偏头痛的效果。方法凯时注射液10μg加入生理盐水100mL中静脉滴注,qd。用1%利多卡因10mL经前入路行SGB,qd。每次阻滞1侧星状神经节,左右两侧交替注射,10次为1个疗程。全部病人均接受20~30次治疗。治疗期间停用抗偏头痛药物。随访期>6个月。结果共治疗27例,治疗总有效率为85.18%。平均发作频率由治疗前的2.42次/月下降为治疗后的0.71次/月。(P<0.01)。平均发作持续时间由治疗前的6.85h下降为治疗后的2.82h(P<0.01)。结论凯时注射液加SGB是治疗偏头痛的有效方法。
Objective To observe the effect of Kai Shi injection combined with stellate ganglion block (SGB) on the migraine which is uncontrollable by conventional drugs. Methods Kai Shi injection 10μg added 100mL normal saline intravenously, qd. With 1% lidocaine 10mL by the way before the line SGB, qd. Each block 1 side of the stellate ganglion, alternating injection on both sides, 10 times for a course of treatment. All patients received 20 to 30 times treatment. Anti-migraine medication was discontinued during treatment. Follow-up period> 6 months. Results A total of 27 cases of treatment, the total effective rate was 85.18%. The average seizure frequency decreased from 2.42 times / month before treatment to 0.71 times / month after treatment. (P <0.01). The mean duration of attack decreased from 6.85h before treatment to 2.82h after treatment (P <0.01). Conclusions Kay hours injection plus SGB is an effective method for the treatment of migraine.