星状神经节阻滞对蛛网膜下腔出血后脑血管痉挛影响的研究进展

doi:10.3969/j.issn.1006-7795.2023.02.007

首都医科大学学报 ›› 2023, Vol. 44 ›› Issue (2): 226-230.doi: 10.3969/j.issn.1006-7795.2023.02.007

星状神经节阻滞对蛛网膜下腔出血后脑血管痉挛影响的研究进展

陈奕玮，吴侑煊，梁发，韩如泉*

首都医科大学附属北京天坛医院麻醉科，北京 100070

收稿日期:2023-02-01 出版日期:2023-04-21 发布日期:2023-04-18
通讯作者: 韩如泉 E-mail:ruquan.han@ccmu.edu.cn
基金资助:
首都卫生发展科研专项(首发2022-2-2043）

Advances in the effects of stellate ganglion block on cerebral vasospasm due to aneurysmal subarachnoid hemorrhage

hen Yiwei, Wu Youxuan, Liang Fa, Han Ruquan*

Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China

Received:2023-02-01 Online:2023-04-21 Published:2023-04-18
Supported by:
This study was supported by Capital Health Development Scientific Research Project (2022-2-2043)

摘要/Abstract

摘要： 星状神经节阻滞(stellate ganglion block，SGB）是一种交感神经节阻滞技术，在临床获得较大范围的应用。近年来，该技术在改善动脉瘤性蛛网膜下腔出血(aneurysmal subarachnoid hemorrhage, aSAH）后的脑血管痉挛方面的研究取得了一定的进展。本文将从aSAH后脑血管痉挛的可能机制、SGB改善脑血管痉挛的作用、临床应用及相关机制进行阐述，旨在为应用SGB防治aSAH后脑血管痉挛和迟发性脑缺血及改善预后提供一定的理论依据。

关键词: 星状神经节阻滞, 蛛网膜下腔出血, 颅内动脉瘤, 脑血管痉挛, 脑缺血

Abstract: Stellate ganglion block (SGB) is one of sympathetic ganglia block techniques which has been widely used in clinical practice. Recent years, studies of SGB have made progresses in improving cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH). The possible mechanism of cerebral vasospasm after aSAH, the effect of SGB on improving cerebral vasospasm, the clinical application and related mechanism are reviewed in this paper to provide some theoretical basis for the application of SGB to prevent and treat cerebral vasospasm and delayed cerebral ischemia after aSAH and improve the prognosis.

Key words: stellate ganglion block, subarachnoid hemorrhage, intracranial aneurysm, cerebral vasospasm, cerebral ischemia

中图分类号:

R614

陈奕玮, 吴侑煊, 梁发, 韩如泉. 星状神经节阻滞对蛛网膜下腔出血后脑血管痉挛影响的研究进展[J]. 首都医科大学学报, 2023, 44(2): 226-230.

hen Yiwei, Wu Youxuan, Liang Fa, Han Ruquan. Advances in the effects of stellate ganglion block on cerebral vasospasm due to aneurysmal subarachnoid hemorrhage[J]. Journal of Capital Medical University, 2023, 44(2): 226-230.

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星状神经节阻滞对蛛网膜下腔出血后脑血管痉挛影响的研究进展

Advances in the effects of stellate ganglion block on cerebral vasospasm due to aneurysmal subarachnoid hemorrhage

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