Preoperative greater occipital nerve block in total thyroidectorny patients can reduce postoperative occipital headache and posterior neck pain
Preoperative greater occipital nerve block in total thyroidectorny patients can reduce postoperative occipital headache and posterior neck pain
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DOI：
10.1089/thy.2006.16.599
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发表时间：
2006-06-01
期刊：
影响因子：
6.6
通讯作者：
Kim, Ki Jun
中科院分区：
文献类型：
--
作者：
Han, Dong Woo;Koo, Bon Nyeo;Kim, Ki Jun
在颈部完全伸展的情况下接受甲状腺切除术的患者通常会出现枕部头痛和颈后疼痛。我们试图评估术前枕大神经（GON）阻滞对甲状腺切除术后枕部头痛和颈后疼痛的影响。 82 名接受选择性甲状腺全切除术的患者被随机分为两组。阻滞组采用0.25%布比卡因进行双侧GON阻滞。对照组没有任何先前的阻滞。使用视觉模拟量表（VAS）和言语评定量表评估枕部头痛和颈后僵硬。术后12小时和24小时，阻滞组枕部头痛和颈后痛的VAS显着低于对照组（p < 0.05）。此外，阻滞组术后12小时和24小时报告中度或重度枕部头痛和颈后痛的患者比例显着低于对照组（p < 0.001）。 GON 阻滞期间和之后没有观察到副作用。我们的结论是，术前用 0.25% 布比卡因进行 GON 阻滞是减轻甲状腺手术后枕部头痛和颈后疼痛的有效技术。
Patients undergoing thyroidectomy with neck fully extended usually experience occipital headache and posterior neck pain. We have attempted to evaluate the effect of preoperative greater occipital nerve (GON) block on occipital headache and posterior neck pain after thyroidectomy. Eighty-two patients undergoing elective total thyroidectomy were randomly allocated to two groups. In block group, bilateral GON blocks with 0.25% bupivacaine were performed. The control group did not have any prior block. Occipital headache and posterior neck stiffness were assessed using the visual analogue scale (VAS) and verbal rating scale. VAS of occipital headache and posterior neck pain in block group was significantly lower compared to that in the control group at postoperative 12 and 24 hours (p < 0.05). In addition, the proportion of patients reporting moderate or severe occipital headache and posterior neck pain at postoperative 12 and 24 hours in block group was significantly lower than that in control group (p < 0.001). No side effects were observed during and after GON block. We conclude that preoperative GON block with 0.25% bupivacaine is an effective technique to reduce occipital headache and posterior neck pain after thyroid surgery.