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目的探讨颈交感神经节阻滞治疗偏头痛的疗效及其对交感神经皮肤反应的影响。方法颈交感神经节阻滞受用颈6横突法,每日1次,两侧交替阻滞,共7次;应用神经电生理测定36例偏头痛患者治疗前后和30例健康人交感神经皮肤反应(SSR)。结果偏头痛患者经颈交感神经节阻滞后头痛次数减少、头痛时间缩短、程度减轻,与治疗前比较有显著性差异(P<0.01)。偏头痛患者交感神经皮肤反应的潜伏期均明显长于对照组(P<0.01),而波幅显著低于对照组(P<0.01);颈交感神经节阻滞后偏头痛患者交感神经皮肤反应恢复正常。结论颈交感神经节阻滞治疗偏头痛具有良好的疗效,并能改善偏头痛患者的自主神经功能(ANS)。
Objective To investigate the curative effect of cervical sympathectomy on migraine and its effect on the sympathetic skin reaction. Methods Cervical sympathectomy was blocked by cervical transverse approach 6 times a day, alternating on both sides for a total of 7 times. Neurophysiological measurements were performed on 36 migraineurs before and after treatment and 30 healthy controls (SSR). Results The number of headache, the shortened and the shortened headache in migraine patients after cervical sympathectomy were significantly lower than those before treatment (P <0.01). The latency of sympathetic skin reaction in patients with migraine was significantly longer than that in the control group (P <0.01), and the amplitude was significantly lower than that in the control group (P <0.01). The sympathetic skin reaction returned to normal in migraine patients with cervical sympathectomy. Conclusion Cervical sympathetic ganglia blockade has a good curative effect on migraine and can improve autonomic nerve function (ANS) in migraine patients.