右星状神经节阻滞对全麻插管期心血管反应的影响  

Effect of Right Stellate Ganglion Block on Cardiovascular Response during Endotracheal Intubation of General Anesthesia

作　　者：陈华梅[1] 廖琪[1] 唐天云[1] 

机构地区：[1]昆明医学院第一附属医院麻醉科,昆明650032

出　　处：《麻醉与监护论坛》2010年第6期455-456,共2页Forum of Anesthesia and Monitoring

摘　　要：目的：观察右星状神经节阻滞（R-SGB）对全身麻醉气管内插管期心血管反应的影响。方法：ASAⅠ—Ⅱ级择期全麻病人40例．随机分为两组。研究组于全麻诱导前15分钟用1％利多卡因10ml经c6入路行R-SGB，对照组诱导前同法注射10mf生理盐水。观察气管插管前后SBP、DBP．MBP、HR、ECG，Sp02和RPP的变化。结果：研究组各时点与入室基础值比较，仅诱导后SBP．DBP、MBP鼠著降低．窥喉时HRP和RPP显著升高（P〈0．01）；在插管3min后已恢复至基础值。而对照组诱导后SBP、DBP，MBP显著降低（P〈0．01）；窥喉时SBP、DBP、MBP．HR、RPP均显著升高（P〈0．01）．并持续至播管后5分钟。组间比较．对照组升高的程度显著高于研究组（P〈0．05或P〈0.01）。结论：R-SGB对全麻气管插管期的心血管反应有一定抑制作用，可用于调控全麻插管期心血管不良反应。Objective：To evaluate the effect of right stellate ganglion block（R-SGB） on cardiovascular response during endotracheal intubation. Methods：Forty ASA Ⅰ- Ⅱ patients scheduled for surgery under general anaesthesia were randomly divided into two groups.The patients of tested group accepted R-SGB by C6 route with 1% lidocaine（10ml）at 15 minutes before induction of general anesthesia,control group were injected 10ml physiological saline in the same way.The changes of SBP, DBP, MAP, HR,ECG,SpO2 and RPP before and after endotracheal intubation were observed and recorded. Results：In tested group,SBP, MAP, DBP were depresssed significantly after induction,HR and RPP rose evidently at laryngeal exposure compared with the baseline values（P〈0.01） and recovered after endotracheal intubation for three minutes.In control group,SBP, MAP, DBP depresssed significantly after induction（P 〈0.01） and SBP, MAP, DBP, HR and RPP rose clearly at laryngeal exposure compared with the baseline values（P〈0.01）, and the raise continued until five minutes after endotracheal intubation.Control group have the more evident raise than tesed group.（P 〈0.05 or P〈0.01 ）. Conclusions：R-SGB may effectively suppress the cardiovascular response during endotracheal intubation and can be used to control the negative reaction during induction of general anesthesia.

关 键 词：星状神经节阻滞 气管插管 心血管反应 应激 

分 类 号：R614.4[医药卫生—麻醉学]