星状神经节阻滞疗法中国专家共识(2022版)  

Expert consensus for stellate ganglion block therapy in China(2022)

作　　者：严敏[1] 刘小立[2] 王林 陶蔚 张咸伟[5] 王锁良[6] 李亦梅[7] 李玉兰[8] 韩冲芳 姚旌 冯刚[4] 黄浩 Yan Min;Liu Xiaoli;Wang Lin;Tao Wei;Zhang Xianwei;Wang Suoliang;Li Yimei;Li Yulan;Han Chongfang;Yao Jing;Feng Gang;Huang Hao(Department of Painology,Second Affiliated Hospital of Zhejiang University,School of Medicine,Hangzhou City,Zhejiang Province 310000,China;Department of Painology,Fourth Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province 050011,China;Department of Painology,Affiliated Hospital of Guizhou Medical University,Guiyang City,Guizhou Province 550004,China;Department of Neurosurgery,South China Hospital of Shenzhen University,Shenzhen City,Guangdong Province 518111,China;Department of Anesthesiology,Tongji Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan City,Hubei Province 430030,China;Department of Painology,First Affiliated Hospital,Xi'an Jiaotong University,Xi'an City,Shaanxi Province 710061,China;Department of Painology,First Affiliated Hospital of Xinjiang Medical University,Urumqi City,Xinjiang Uyghur Autonomous Region 830054,China;Department of Anesthesiology,First Hospital of Lanzhou University,Lanzhou City,Gansu Province 730000,China;Department of Anesthesiology,Shanxi Bethune Hospital(Shanxi Academy of Medical Sciences),Taiyuan City,Shanxi Province 030032,China)

机构地区：[1]浙江大学医学院附属第二医院疼痛科,杭州市310000 [2]河北医科大学第四医院疼痛科,石家庄市050011 [3]贵州医科大学附属医院疼痛科,贵阳市550004 [4]深圳大学附属华南医院神经外科,深圳市518111 [5]华中科技大学同济医学院附属同济医院疼痛科,武汉市430030 [6]西安交通大学第一附属医院疼痛科,西安市710061 [7]新疆医科大学大学第一附属医院疼痛科,乌鲁木齐市830054 [8]兰州大学第一医院麻醉科,兰州市730000 [9]山西白求恩医院(山西医学科学院)麻醉科,太原市030032

出　　处：《中华疼痛学杂志》2022年第3期293-301,共9页Chinese Journal Of Painology

摘　　要：星状神经节阻滞(SGB)是目前疼痛科与麻醉科临床工作中广泛使用的治疗方法,用于治疗多种疼痛及非疼痛类疾病如头面部、耳鼻喉、口腔、颈肩部及上肢的疼痛,对于难治性心绞痛、心律失常、抑郁症等疾病也有一定疗效。过去常用体表定位法进行阻滞,近年来超声在疼痛科普及应用后,超声引导下SGB逐渐成为主流。本共识总结多位专家临床经验,从星状神经节的解剖、SGB适应证及禁忌症、阻滞方法、药物选择及疗程、疗效评价、并发症及注意事项等方面来介绍此项技术,供指导临床应用。Stellate ganglion block(SGB)has been widely used in clinical treatment for various pain and non-pain,including the pain of head and face,ear,nose and throat,oral,neck and shoulder,and upper limb.Additionally,SGB has shown a curative effect on refractory angina pectoris,arrhythmia,and depression.Previously,the SGB procedure had been primarily dependent on the anatomical landmark.However,with the popularization and adopted application of ultrasound in pain,the ultrasound-guided SGB has gradually become the mainstream.This consensus summary reflects the clinical experience of several experts.The topics range from introducing the stellate ganglion anatomy to the indications and contraindications of SGB,blocking methods,drug selection,treatment course,efficacy evaluation,complications and precautions.Overall,the consensus hopes to provide clinical guidance for SGB.

关 键 词：星状神经节 交感神经 超声引导 神经传导阻滞 专家共识 

分 类 号：R402[医药卫生—临床医学]