超声引导下星状神经节阻滞促进胃肠功能恢复的探讨  

Ultrasound-guided stellate ganglion block to promote recovery of gastrointestinal function

作　　者：邓林清[1] 王志红[1] 杜月琴[2] 张卫全[1] 

机构地区：[1]邯郸市第一医院麻醉科,河北邯郸056002 [2]邯郸市第三医院急诊科,河北邯郸056001

出　　处：《中国医学装备》2012年第1期68-69,共2页China Medical Equipment

摘　　要：目的:采用星状神经节阻滞改善胃肠神经及内分泌功能,以此促进胃肠功能恢复,观察比较子宫切除术(全切或次全切)后2种促肛门排气方法的疗效。方法:试验组与对照组均为硬膜外麻醉,试验组术后6h即行星状神经节阻滞,双侧交替进行,每日1次;对照组采用术后6h进行足三里注射,每日2次。结果:观察组患者术后排气时间为(24.5±8.5)h,对照组术后排气时间为(33.2±9.0)h,两组差异有显著性(P<0.01)。结论:子宫切除术后进行星状神经节阻滞对促进胃肠功能恢复有较好疗效。Objective： To observe the effect of two methods to promote recovery of gastrointestinal function after total or sub-total hysterectomy. Methods： Epidural anesthesia was performed in both experimental and control group. In the experimental group, stellate ganglion block was conducted at postoperative 6h with bilateral alternating once a day. In the control group, zusanli injection was used twice a day. Results： The postoperative patients exhaust time was （24.5±8.5）h and （33.2±9.0）h in the experimental group and control one,respectively. There was significant difference between the 2 groups （P〈 0.01）. Conclusion： Postoperative stellate ganglion block has good curative effect to promote recovery of gastrointestinal function after hysterectomy.

关 键 词：星状神经节阻滞 术后排气时间 胃肠功能恢复 超声引导 

分 类 号：R614.4[医药卫生—麻醉学]