右侧星状神经节阻滞对冠心病患者心血管反应的影响  

Effects of right-sided steUate ganglion block on cardiovascular response in patients with coronary artery disease

作　　者：丘伟沛[1] 季中华[1] 王昊[1] 雷洪伊[2] 乔瑞冬[1] 

机构地区：[1]暨南大学第三附属医院珠海市人民医院麻醉科,519000 [2]南方医科大学附属珠江医院麻醉科,广州510282

出　　处：《国际医药卫生导报》2010年第19期2319-2321,共3页International Medicine and Health Guidance News

基　　金：珠海市卫生局医学科研课题立项

摘　　要：目的观察右侧星状神经节阻滞（RSGB）对冠心病患者心血管反应的影响，探讨RSGB在冠心病患者中应用的可行性。方法40例ASAⅡ～Ⅲ级择期行“冠状动脉搭桥术”患者，随机均分为右侧星状神经节阻滞组（A组）和对照组（B组）。A组以1％利多卡因10ml行右侧星状神经节阻滞，B组以10ml生理盐水行右侧星状神经节注射，记录并分析阻滞前与阻滞后5min、10min、15min各时点患者的CI、MAP、HR、SvO2、RPP。结果A组阻滞后各时点RPP、HR明显低于B组（P〈0．01），MAP高于B组（P〈0．05），SvO2、CI明显高于B组（P〈0．01）。结论右侧星状神经节阻滞在冠心病患者中安全可行，能有效改善患者心肌氧供需关系，维持血流动力学稳定。Objective To observe the effects of right-sided stellate ganglion block （ RSGB ） on cardiovascular response in patients with coronary artery disease. Methods Forty ASA II or III patients undergoing elective coronary artery bypass surgery were randomly assigned to study group （ group A ） or control group （ group B ）. The patients in group A received RSGB with 1% lidocaine and group B with 10ml normal sodium. ECG, MAP, Sv02, cardiac output （ CO ） and rate-pressure product （ RPP ） were monitored interaoperatively and recorded before block and 5, 10, and 15min after block. Results As compared with group B, HR and SvO2 were significantly decreased, MAP was increased, RPP and CI were obviously increased （ P〈 0.01 ）. Conclusions Right-sided stellate ganglion block is safe and feasible in the treatment of coronary artery disease and is effective in improving oxygen supply to the myocardium and in maintaining the stability of hemodynamics.

关 键 词：右侧星状神经节阻滞 冠心病 心血管反应 

分 类 号：R614[医药卫生—麻醉学]