右侧星状神经节阻滞对急诊脑外伤患者气管插管心血管反应的影响

doi:10.3969/j.issn.1674-490X.2013.04.001

医学研究与教育 ›› 2013, Vol. 30 ›› Issue (4): 1-4.DOI: 10.3969/j.issn.1674-490X.2013.04.001

• 临床研究 • 下一篇

右侧星状神经节阻滞对急诊脑外伤患者气管插管心血管反应的影响

王颖,李永乐,武广义

河北大学附属医院麻醉科,河北保定,071000

收稿日期:2016-10-09 修回日期:2016-10-09 出版日期:2013-08-25 发布日期:2013-08-25

Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury

WANG Ying,LI Yongle,WU Guangyi

Received:2016-10-09 Revised:2016-10-09 Online:2013-08-25 Published:2013-08-25

摘要/Abstract

摘要： 目的探讨右侧星状神经节阻滞对急诊脑外伤患者气管插管心血管反应的影响。方法急诊脑外伤患者80例，随机分成两组，A组患者行右侧星状神经节阻滞后进行气管内插管，B组不进行星状神经节阻滞，常规气管内插管。记录两组患者在气管插管前1min、气管插管即刻、气管插管后1min的心率、平均动脉压（MAR）和血氧饱和度，并观察两组患者气管插管时有无呛咳。计量资料采用成组比较t检验，计数资料采用χ2检验进行统计学分析。结果A组和B组呛咳反射的比较有统计学意义，A组插管反应明显轻于B组。A组较B组在气管插管即刻、气管插管后1 min心率、MAR明显低,有显著性差别。结论右侧星状神经节阻滞能明显降低急诊脑外伤患者气管插管心血管反应，从而使急诊脑外伤患者全麻诱导更加平稳。

关键词: 星状神经节, 脑外伤, 气管插管, 心血管反应

Abstract: Objective To observe the inlfuence of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergency cases with traumatic brain injury. Methods 80 emergency cases with traumatic brain injury were randomly divided into two groups. Group A were treated with right-side stellate ganglion block before tracheal intubation. Group B were only treated with tracheal intubation. The heart rates, mean blood pressure and oxyhemoglobin saturation one minute before the intubation, at the moment of being intubated and one minute after the intubation were calculated. Meanwhile, it was evaluated whether the two groups coughed with the intubation. Variance analysis was applied to measurement data, and statistics analysis andχ2 were to count data. Results There was statistic signiifcance in comparing the cough responses of Group A and Group B, and the cardiovascular response to tracheal intubation of Group A was signiifcantly weaker than that of Group B. There was signiifcant difference between the two groups in heart rates and MAR. The heart rates and MAR of Group A was signiifcantly lower at the moment of being intubated and one minute after the intubation. Conclusion Right-side stellate ganglion block can signiifcantly decrease the cardiovascular response to tracheal intubation in emergentcy cases with traumatic injury. Hence, general anesthetic revulsion steadily proceeds in emergency cases with traumatic brain injury.

Key words: stellate ganglion, traumatic brain injury, tracheal intubation, cardiovascular response

中图分类号:

王颖,李永乐,武广义. 右侧星状神经节阻滞对急诊脑外伤患者气管插管心血管反应的影响[J]. 医学研究与教育, 2013, 30(4): 1-4.

WANG Ying,LI Yongle,WU Guangyi. Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury[J]. Medical Reserch and Education, 2013, 30(4): 1-4.

参考文献

[1] 周颖, 秦树国, ZHOU Ying, QIN Shu-guo. 全身麻醉诱导前星状神经节阻滞对气管插管患者循环系统的影响 [J]. 武警医学院学报 2011.doi:10.3969/j.issn.1008-5041.2011.07.007
[2] 罗花梅, 周文荣. 右星状神经节阻滞对全麻气管拔管期心血管反应的影响 [J]. 实用中西医结合临床 2011.doi:10.3969/j.issn.1671-4040.2011.05.021
[3] 王颖, 左辉, 王桂英, 柳顺锁. 星状神经节阻滞与心脏功能 [J]. 河北职工医学院学报 2005.doi:10.3969/j.issn.1674-490X.2005.04.015
[4] LI HE, SUN KAI MA, XIAo PING HU, GOU YUAN ZHANG, Jian FEI. Norepinephrine transporter (NET) is expressed in cardiac sympathetic ganglia of adult rat [J]. 细胞研究(英文版) 2001.doi:10.1038/sj.cr.7290102
[5] 安波, 张志强, 张山. 左、右侧星状神经节阻滞血流动力学变化的比较 [J]. 中国疼痛医学杂志 2008.doi:10.3969/j.issn.1006-9852.2008.02.015
[6] 赵英, 王茂彬. 不同侧星状神经节阻滞对心血管反应的影响 [J]. 中国疼痛医学杂志 2004.doi:10.3969/j.issn.1006-9852.2004.01.005
[7] SIMEOFORIDOU M, VRETZAKIS G, CHANTZI E. Effect of interscalene brachial plexus block on heart rate variability [J]. Korean J Anesthesiol 2013, 64(05).
[8] GARCíA-MORáN E, SANDíN-FUENTES M G, ALVAREZ LóPEZ J C. Electrical Storm Secondary to Acute Myocardial Infarction and Heart Failure Treated With Left Stellate GanglionBlock [J]. Revista Espanola de Cardiologia 2013, 66(07).
[9] SOKLOSKY I S, ROGLIS N L, ADANS L A. Central and piripheral amines effects of brain missile wounding and increase intracranal pressure [J]. Neurosurg 1992, 76(01).
[10] CLIFTON G L, ROBT RTSON C S, GRESSMAN R G. Cardicrascular and metabolit responser to severe head injury [J]. Neurosurg 1989, 12(suppl1).
[11] 张立生, 刘小立. 现代疼痛学 [M]. 石家庄:河北科学技术出版社 1998.
[12] ALINO J, KOSATKA D, MCLEAN B. Efficacy of stellate ganglion block in the treatment of anxiety symptoms from combat-related post-traumatic stress disorder:a case series [J]. Military Medicine 2013, 178(04).
[13] MOON H S, CHON J Y, LEE S H. Long-term Results of Stellate Ganglion Block in Patients with Olfactory Dysfunction [J]. Korean J Pain 2013, 26(01).
[14] LIU M H, TIAN J, SU Y P. Cervical sympathetic block regulates early systemic inflammatory response in severe trauma patients [J]. MEDICAL SCIENCE MONITOR 2013, 19.
[15] HOAR P F, HICKEY R F, ULLYOR D J. Systemic hyperlention following myocardial revascplanzation [J]. J Thoracic Cardio Surg 1976, 71(06).
[16] 陈华梅, 廖琪. 星状神经节阻滞与全麻插管期心血管反应 [J]. 2011.
[17] Koyama S, Sato N, Nagashima K, Aizawa H, Kawamura Y, Hasebe N, Iwasaki H, Kikuchi K. Effects of right stellate ganglion block on the autonomic nervous function of the heart: a study using the head-up tilt test. [J]. Circulation journal 2002, 7(7).
[18] Fujiki A, Masuda A, Inoue H. Effects of unilateral stellate ganglion block on the spectral characteristics of heart rate variability. [J]. Japanese circulation journal 1999, 11(11).

右侧星状神经节阻滞对急诊脑外伤患者气管插管心血管反应的影响

Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

编辑推荐

Metrics

本文评价

[1]	史蔼赟, 王丽, 钱丽云, 王琪, 刘莉. 气管插管患者床单元高频接触物表面消毒效果研究[J]. 医学研究与教育, 2022, 39(5): 62-67.
[2]	解素勇,薛姣,聂津,王奕芳. 全麻气管插管后环杓关节脱位1例[J]. 医学研究与教育, 2016, 33(4): 75-76.
[3]	吕丽,魏智慧. 视可尼喉镜与直接喉镜气管插管的临床观察[J]. 医学研究与教育, 2009, 26(5): 38-39.