Introduction Traditionally, non-invasive and invasive techniques were used for the treatment of cervicogenic headache (CH). Greater occipital nerve block is the most frequent peripheral nerve block invasive technique used for the management of cervicogenic headache. The purpose of this prospective, double-blinded study was to compare the efficacy of two different techniques: multifidus cervicis plane block and greater occipital nerve block in the treatment of refractory cervicogenic headache by using ultrasound. Methods Sixty patients with cervicogenic headache were recruited and diagnosed according to the ICHD-III beta version. The patients were divided into two groups, one group was for greater occipital nerve block and the other group was for multifidus cervicis plane block with ultrasound-guided. Results Visual analog scale (VAS) was 2.09% in the multifidus cervicis plane block (MCPB) group and was 2.22% in the greater occipital nerve block (GONB) group with a median reduction of − 4.33 and − 3.048, respectively, at 2-week visits with a statistically significant difference better in the MCPB group ( P < 0.001). At 4 weeks visits, VAS scale was better in the MCPB group than in the GONB group (3.79 and 4.44, respectively) with a median reduction in VAS scale (− 3.27 and − 3.095, respectively) and statistically significant differences between both groups ( P = 0.020). Conclusion Both the ultrasound-guided multifidus cervicis plane block and greater occipital nerve block are effective as intervention techniques in the treatment of refractory cervicogenic headache. These techniques are simple, safe, more reliable with less side effects, and often reduce the requirements of analgesic drugs.

中文翻译：

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超声引导下多裂肌平面阻滞与枕大神经阻滞治疗颈源性头痛的疗效

介绍 传统上，非侵入性和侵入性技术用于治疗颈源性头痛 (CH)。枕大神经阻滞是最常用的外周神经阻滞侵入性技术，用于治疗颈源性头痛。这项前瞻性双盲研究的目的是比较两种不同技术的疗效：多裂肌平面阻滞和枕大神经阻滞在使用超声治疗难治性颈源性头痛中的疗效。方法 选取颈源性头痛患者 60 例，根据 ICHD-III beta 版进行诊断。将患者分为两组，一组为枕大神经阻滞，另一组为超声引导下宫颈多裂肌平面阻滞。结果 视觉模拟量表 (VAS) 为 2。多裂肌平面阻滞 (MCPB) 组为 09%，枕大神经阻滞 (GONB) 组为 2.22%，在 2 周就诊时中位减少分别为 - 4.33 和 - 3.048，具有统计学显着性差异在 MCPB 组中（ P < 0.001）。在第 4 周就诊时，MCPB 组的 VAS 量表优于 GONB 组（分别为 3.79 和 4.44），VAS 量表的中位数降低（分别为 - 3.27 和 - 3.095）并且两组之间的差异具有统计学意义（ P = 0.020）。结论超声引导下颈多裂肌平面阻滞和枕大神经阻滞均是治疗难治性颈源性头痛的有效干预技术。这些技术简单、安全、更可靠、副作用更少，