星状神经节阻滞在重症医学领域中的应用

doi:10.3969/j.issn.1002-1949.2019.03.019

摘要
图/表
参考文献(28)
相关文章 (3)

全文: PDF (477 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要星状神经节阻滞（SGB）通过抑制交感神经活性，已广泛应用于疼痛性疾病的临床治疗。过度交感神经兴奋是引起危重症患者病情恶化的因素之一。本文综述SGB对脓毒症、失血性休克、急性肺损伤、心功能不全、蛛网膜下腔出血，以及创伤性脑损伤作用的研究进展，希望为危重症患者的临床防治提供新的思路。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王小荣
	赵自刚

关键词 ：星状神经节阻滞(SGB), 重症医学, 应用

基金资助:河北省教育厅自然科学研究项目（ZC2016063）;河北北方学院博士基金项目（201710）

通讯作者: 赵自刚（1974-），男，博士，教授，硕士生导师，E-mail:zzghyl@126.com。

作者简介: 王小荣（1981-），女，硕士，实验师,E-mail：wxr200369@163.com。

引用本文:

王小荣，赵自刚. 星状神经节阻滞在重症医学领域中的应用[J]. 中国急救医学, 2019, 39(3): 294-297.
Wang Xiao-rong, Zhao Zi-Gang. Application of stellate ganglion block in the field of critical medicine. Chinese Journal of Critical Care Medicine, 2019, 39(3): 294-297.

链接本文:

http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.03.019 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I3/294

［1］Kim HJ, Ahn HS, Lee JY, et al. Effects of applying nerve blocks to prevent postherpetic neuralgia in patients with acute herpes zoster: a systematic review and meta-analysis［J］. Korean J Pain, 2017, 30(1): 3-17. ［2］Smart KM, Wand BM, O′Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) typesⅠand Ⅱ［J］. Cochrane Database Syst Rev, 2016, 2: CD010 853. ［3］Lipov E, Ritchie EC. A review of the use of stellate ganglion block in the treatment of PTSD［J］. Curr Psychiatry Rep, 2015, 17(8): 599. ［4］Guirguis M, Abdelmalak J, Jusino E, et al. Stellate ganglion block for the treatment of hot flashes in patients with Breast Cancer: A Literature Review［J］. Ochsner J, 2015, 15(2): 162-169. ［5］Chen Y, Guo L, Lang H, et al. Effect of a stellate ganglion block on acute lung injury in septic rats［J］. Inflammation, 2018, 41(5): 1601-1609. ［6］蔡可庆. 星状神经节阻滞对脓毒症大鼠多器官功能及血清炎症因子的影响［D］.南昌：南昌大学医学院, 2014: 7-10. ［7］吴德丹, 毛冬梅, 张忠杰, 等. 星状神经节阻滞对多器官功能障碍综合征家兔血浆SP和CGRP的影响［J］. 贵阳医学院学报, 2016, 41(2): 182-184，189. ［8］李建玉, 宋骤, 杨雪, 等. 星状神经节阻滞对内毒素血症小鼠炎性细胞因子水平及死亡率的影响［J］. 实用医学杂志, 2012, 28(17): 2839-2841. ［9］Bataille B, Nucci B, Mora M, et al. Ultrasound-guided bilateral stellate ganglion blockade to treat digital ischemia in a patient with sepsis: a case report［J］. Can J Anaesth, 2016, 63(1): 56-60. ［10］刘春贵, 陈宁军, 王勃钦, 等. 星状神经节阻滞对失血性休克患者胃肠功能障碍的影响［J］. 中国现代药物应用, 2016, 10(10): 20-21. ［11］张京. 星状神经节阻滞对失血性休克大鼠肠屏障的干预作用［D］.张家口：河北北方学院, 2016: 20-27. ［12］尧章泉. 星状神经节阻滞对创伤失血性休克大鼠急性肺损伤的作用［D］.张家口：河北北方学院, 2017: 18-25. ［13］Kojima M, Gimenes-Junior JA, Chan TW, et al. Exosomes in postshock mesenteric lymph are key mediators of acute lung injury triggering the macrophage activation via Toll-like receptor 4［J］. FASEB J, 2018, 32(1): 97-110. ［14］张雨, 刘艳, 李文志. 星状神经节阻滞对盐酸致家兔急性肺损伤的保护作用［J］. 哈尔滨医科大学学报, 2013, 47(2): 135-138. ［15］张雪松, 王利, 张莹. 星状神经节阻滞对家兔急性肺损伤外周血中炎性细胞因子的影响［J］. 中国基层医药, 2012, 19(21): 3281-3282. ［16］Liu Y, Tao T, Li W, et al. Regulating autonomic nervous system homeostasis improves pulmonary function in rabbits with acute lung injury［J］. BMC Pulm Med, 2017, 17(1): 98. ［17］李永乐. 星状神经节阻滞对油酸致家兔急性肺损伤的保护作用［D］.石家庄：河北医科大学, 2006: 16-34. ［18］黄再青, 段霞光, 康于庆, 等. 星状神经节阻滞对兔机械通气所致肺损伤的保护作用［J］. 国际麻醉学与复苏杂志, 2016, 37(5): 389-393. ［19］Loyalka P, Hariharan R, Gholkar G, et al. Left stellate ganglion block for continuous ventricular arrhythmias during percutaneous left ventricular assist device support［J］. Tex Heart Inst J, 2011, 38(4): 409-411.［20］Scanlon MM, Gillespie SM, Schaff HV, et al. Urgent Ultrasound-Guided Bilateral Stellate Ganglion Blocks in a Patient With Medically Refractory Ventricular Arrhythmias［J］. Crit Care Med, 2015, 43(8): e316-318. ［21］Chen YQ, Xie YY, Wang B, et al. Effect of stellate ganglion block on hemodynamics and stress responses during CO2-pneumoperitoneum in elderly patients［J］. J Clin Anesth, 2017, 37: 149-153. ［22］Pêgo-Fernandes PM, Moreira LF, Souza GE, et al. Endoscopic left sympathetic blockade in the treatment for dilated cardiomyopathy［J］. Arq Bras Cardiol, 2010, 95(6): 685-690. ［23］Hu N, Wu Y, Chen BZ, et al. Protective effect of stellate ganglion block on delayed cerebral vasospasm in an experimental rat model of subarachnoid hemorrhage［J］. Brain Res, 2014, 1585: 63-71. ［24］Prabhakar H, Jain V, Rath GP, et al. Stellate ganglion block as alternative to intrathecal papaverine in relieving vasospasm due to subarachnoid hemorrhage［J］. Anesth Analg, 2007, 104(5): 1311-1312. ［25］Jain V, Rath GP, Dash HH, et al. Stellate ganglion block for treatment of cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage - A preliminary study［J］. J Anaesthesiol Clin Pharmacol, 2011, 27(4): 516-521. ［26］Nie Y, Song R, Chen W, et al. Effects of stellate ganglion block on cerebrovascular vasodilation in elderly patients and patients with subarachnoid haemorrhage［J］. Br J Anaesth, 2016, 117(1): 131-132. ［27］Sánchez Arguiano J, Hernández-Hernández MA, Jáuregui Solórzano RA, et al. Stellate ganglion block as rescue therapy in refractory vasospasm after subarachnoid hemorrhage［J］. Med Intensiva, 2017.  ［28］Yang X, Shi Z, Li X, et al. Impacts of stellate ganglion block on plasma NF-kappaB and inflammatory factors of TBI patients［J］. Int J Clin Exp Med, 2015, 8(9): 15 630-15 638.