超声引导下星状神经节阻滞有效性及安全性评价  

Effectiveness and safety evaluation of ultrasound guided stellate ganglion block

作　　者：岳剑宁[1] 武百山[1] 王琦[1] 郭玉娜[1] 刘京杰[1] 何明伟[1] 李玄英[1] 倪家骧[1] 

机构地区：[1]首都医科大学宣武医院疼痛科,北京100053

出　　处：《首都医科大学学报》2014年第1期32-34,共3页Journal of Capital Medical University

摘　　要：目的观察超声引导定位下星状神经节阻滞术(stellate ganglion block,SGB)的安全性与有效性。方法选择76例需行SGB治疗且无禁忌证患者,采用数字表法随机将患者分为2组,超声组(n=38)应用超声引导定位SGB,常规组(n=38)应用传统SGB治疗。观察手术总操作时间,霍纳征发生率,操作中患者是否出现明显不适,多次阻滞后注射部位疼痛发生率,喉返神经阻滞、臂丛神经阻滞,局部麻药醉中毒等不良反应。结果超声组SGB阻滞霍纳征出现率(98.5%),高于常规组(81.1%);超声组穿刺中出现明显不适发生率(1.2%),远低于常规组(23.5%)。超声组多次阻滞后注射部位疼痛发生率(2.7%),明显低于常规组(18.3%)。喉返神经阻滞(0.6%),臂丛神经阻滞(0.9%),局部麻醉药中毒(0.3%)等不良反应的发生率低于传统穿刺组(分别为5.6%、7.7%、2.5%),组间比较差异有统计学意义(P<0.05)。结论超声引导定位下SGB比传统盲探穿刺法操作更安全,成功率更高,有较多优势,值得临床选用。To observe the safety and effectiveness of ultrasound-guided stellate ganglion block （SGB）. Methods Seventy-six patients who required SGB treatment and had no contraindications, were divided into two groups using the random number table method, the ultrasound group （ n = 38） and conventional group （ n = 38）. The following indicators were observed ： the total operation time, Homer＇s sign, patients with significant discomfort during the operation, the incidence of pain at the injection site, laryngeal recurrent nerve block, brachial plexus block, adverse reactions, such as local anesthetics poisoning. Results In the uhrasonic group SGB block homer＇s sign occurrence rate （98. 5% ） was higher than that in conventional group （ 81.1% ; the incidence of discomfort in the ultrasound group （1.2%） was far lower than that in conventional group （23.5%） ; in the ultrasonic group, the incidence of pain after multiple block at the injection site （2. 7% ） was significantly lower than in conventional group （ 18. 3% ）. The incidence of adverse reactions, such as laryngeal recurrent nerve block （0. 6% ）, brachial plexus block （0. 9% ）, local anesthetics poisoning （0. 3% ） were lower than those in conventional puncture group （5.6%, 5.6%, 7.7% respectively）. The differences between the 2 groups were statistically significant （P 〈 0. 05）. Conclusion Ultrasound-guided localization of SGB compared to traditional method, the success rate and safety were higher, with more advantages, therefore it is worthy of clinical use.

关 键 词：超声引导 星状神经节阻滞 有效性 安全性 

分 类 号：R441.1[医药卫生—诊断学]