The Efficacy Analysis Of Radiofrequency In The Treatment Of Migraine

Objective:Observe the efficacy,safety and related postoperative complications of pulsed radiofrequency and radiofrequency thermocoagulation on cervical 2 nerve posterior branch in the treatment of migraine guided by C-arm or CT,summarize the past clinical practice experience and provide a safe and effective treatment for migraine patients.The treatment plan provides the basis.Methods:63 patients with migraine who met the standard were collected.According to the radio frequency mode,they were divided into pulse radiofrequency group(42°C radiofrequency temperature)33cases and radiofrequency thermocoagulation group(75°C radiofrequency temperature)30 cases.Two groups of patients were regularly followed by telephone.Visual analogue score(VAS)and the Migraine Disability Assessment Questionnaire(MIDAS)were used to evaluateassessment score changes preoperative and postoperative 1 month,months and 6 months,as well as whether there were postoperative complications.At the same time,the comparison between the two groups were performed to see whether there were differences.Results:There was no significant difference in age,gender,course of disease,location,and family history between the two groups(p>0.05),and there was no significant difference between the two groups in postoperative VAS and VAS changes(p>0.05).There was no statistical difference between the two groups in postoperative MIDAS and MIDAS change(p>0.05).The VAS at 1 month,3 months,and 6 months after surgery in both groups decreased compared with preoperative ones.There was significant difference in VAS scores between the preoperative VAS and the postoperative one-month,three-month,and six-month VAS scores(p<0.05).The MIDAS at 3 months and 6 months after operation in both groups decreased compared with preoperative ones.Therewas a statistically significant difference in MIDAS scores between the preoperative MIDAS and the 3 months and 6 months postopera-tive MIDAS scores(P<0.05).There were no adverse reactions and adverse events in the two groups during the course of the treatment.The incidence of complications in the 75°C radiofrequency temperature group was significantly higher than that in the 42°C group(p<0.05),and mainly with numbness.Conclusion:Both radiofrequency patterns for the treatment of migraine can effectively relieve severe pain and reduce the degree of disability in migraine patients.The incidence of complications in the radiofrequency thermocoagulation group was significantly higher than that in the pulse radio frequency group,and mainly with numbness.