Evaluation of the Clinical Effect of Color Doppler Ultrasound-Guided Stellate Ganglion Block Combined with Drugs in the Treatment of Cervical Headache

摘要

In order to evaluate the clinical effect of color Doppler ultrasound-guided stellate ganglion block combined with drugs in the treatment of cervical headache, a total of 80 patients, who were diagnosed as cervical headache at the hospital designated by this study from December 2017 to December 2018, were selected as study subjects, and were divided into 2 groups of control group and observation group according to random number table method with 40 cases in each group. The control group was treated only with drugs: 0.3 mg gabapentin orally taken 3 times a day, 0.3 mg tizanidine hydrochloride orally taken 3 times a day, and 0.2 mg celecoxib orally taken 3 times a day for a total of 4 continuous weeks; the observation group was treated with ultrasound-guided stellate ganglion block based on the scheme of control group. The degree of patients' pain was evaluated by visual analogue scale (VAS), which was divided into 0-10 points; the clinical efficacy evaluation was divided into three levels: markedly effective, effective and ineffective. The results showed that the total effective rate of patients' treatments in observation group was 92.50%, which was significantly higher than that of 72.50% in the control group with statistically significant difference (P < 0.05): there was no statistical difference of patients' average VAS score between the two groups before the treatment (P > 0.05), while the average VAS score of patients in the observation group after treatment (3.58 +/- 1.46) was significantly lower than that in the control group (5.37 +/- 1.58) with statistically significant difference (P < 0.05); and there were no serious adverse reactions in both groups. Therefore, it is believed that color Doppler ultrasound-guided stellate ganglion block combined with oral gabapentin, tizanidine hydrochloride, and celecoxib is effective in treating cervical headache. The study results of this paper provides a certain reference for further evaluations of the clinical effect of color Doppler ultrasound-guided stellate ganglion block combined with drugs in the treatment of cervical headache.