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The effects of greater occipital nerve blockage with lidocaine on sleep characteristics in chronic migraine patients
被引:2
作者:
Metin, Kubra Mehel
[1
]
Dilek, Sidika Sena
[1
]
Karaduman, Yilmaz
[2
]
Serce, Azize
[2
]
Takmaz, Suna Akin
[2
]
Inan, Levent Ertugrul
[1
]
机构:
[1] Minist Hlth, Neurol Clin, Ankara Training & Res Hosp, Ankara, Turkiye
[2] Minist Hlth, Algol Dept, Anesthesia & Reanimat Clin, Ankara Training & Res Hosp, Ankara, Turkiye
关键词:
Greater occipital nerve blockade;
Sleep;
Chronic migraine;
RESTLESS LEGS SYNDROME;
DYSFUNCTIONAL BELIEFS;
DEPRESSION;
HEADACHE;
VALIDATION;
ANXIETY;
ATTITUDES;
SEVERITY;
QUALITY;
INDEX;
D O I:
10.1016/j.clineuro.2023.107826
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Purpose: The aim of our study was to determine the effects of greater occipital nerve block (GONB) with lidocaine on sleep characteristics in patients with chronic migraine.Materials and methods: Twenty female patients who underwent GONB with lidocaine were included in the study. The Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), Pre-Sleep Arousal Scale (PSAS), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Restless Legs Syn-drome Severity Scale (RLSSS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and headache diary results before and after the treatment of the patients were compared.Results: We included 20 patients (all females) in our study. The mean age was 35.80 & PLUSMN; 8.82 years (range 24-50). After GON blockade, the number of days with pain (p < 0.001), duration of pain (p < 0.001), and Visual Analog Scale (VAS) score (p < 0.001) were significantly lower than before. After GONB, BDI (p = 0.007), BAI (p = 0.022), ISI (p = 0.009), and PSQI (p = 0.026) scores were significantly lower than before. After GONB, sleep quality was better than before (p = 0.035). Conclusion: This study showed that GONB with lidocaine can improve sleep quality, insomnia, and symptoms of depression and anxiety while reducing migraine headache.
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