罗哌卡因超声引导下星状神经节阻滞治疗失眠的疗效研究  

The effect of stellate ganglion block by ultrasound therapy and traditional medicine in the treatment of insomnia

作　　者：费海涛 王淑芬[3] 周脉涛 FEI Haitao;WANG Shufen;ZHOU Maitao(School of Medicine,Jiangsu University,Zhenjiang,Jiangsu 212013,China;Department of Anesthesiology,101st Hospital of the PLA,Wuxi Psychology,101st Hospital of the PLA,Jiangsu 214004,China;Department of,Wuxi,Jiangsu 214004,China)

机构地区：[1]江苏大学医学院,江苏镇江212013 [2]解放军第101医院麻醉疼痛科,江苏无锡214004 [3]解放军第101医院心理科,江苏无锡214004

出　　处：《重庆医学》2019年第1期83-86,共4页Chongqing medicine

基　　金：江苏省无锡市卫生局医学科研立项(ZD201404);江苏大学2014年临床医学科技发展基金(JLY20140164)

摘　　要：目的对比研究超声下行星状神经节阻滞(SGB)与传统药物治疗失眠症的临床效果。方法将70例失眠症患者分为观察组和对照组,观察组给予SGB,每天1次,6d为1个疗程,对照组口服艾司唑仑片,每天1次,1mg/次,7d为1个疗程。3个疗程后,观察两组治疗效果、下丘脑-垂体-肾上腺素水平、PSQI量表评分、睡眠质量满意度。结果观察组痊愈率和总有效率高于对照组(P<0.05),观察组入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍、日间功能和PSQI评分低于对照组(P<0.05);观察组血清促肾上腺皮质激素释放激素、促肾上腺皮质激素和皮质醇均低于对照组(P<0.05);治疗15d,观察组满意度高于对照组(P<0.05)。结论超声引导下SGB可显著提高失眠症患者的疗效,降低下丘脑-垂体-肾上腺素水平和PSQI量表评分,提高患者满意度。Objective To study the effect of stellate ganglion block(SGB)by ultrasound and traditional medicine in the treatment of insomnia.Methods 70 cases of insomnia patients were randomly divided into the observation group and the control group.The observation group was treated with SGB once a day,6 days for a course of treatment.The control group was treated with Estazolam tablets once a day,1 mg/d,7 days for a course of treatment.The treatment effect,level of hypothalamus pituitary adrenalins,PSQI scale score,sleep quality satisfaction were observed in the two groups.Results The cure rate and total effective rate in the observation group were significantly higher than those in the control group(P<0.05).After treatment,the scores of sleep latency,sleep time,efficiency,quality,disorder,daytime function and PSQI in the observation group were significantly lower than those in the control group(P<0.05).The levels of serum corticotropin releasing hormone,adrenocorticotropic hormone and cortisol in the observation group were significantly lower than those in the control group(P<0.05).After 15 days,the satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion SGB by ultrasound could significantly improve the clinical effect,reduce the levels of hypothalamic pituitary epinephrine and PSQI score,and enhance the satisfaction of treatment in insomnia patients.

关 键 词：失眠症 星状神经节 麻醉药 局部 治疗结果 

分 类 号：R651.3[医药卫生—外科学]