星状神经节阻滞在侧脑室腹腔分流术中的应用

首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (2): 152-154.

星状神经节阻滞在侧脑室腹腔分流术中的应用

赵春亭¹, 吕国蔚²

1. 首都医科大学附属北京天坛医院麻醉科;2. 首都医科大学神经生物系

收稿日期:1997-07-07 修回日期:1900-01-01 出版日期:1998-04-15 发布日期:1998-04-15

An Application of Stellate Ganglionic Block in Operation of Ventricle peritoneal by-pass Flow

Zhao Chunting¹, Lü Guowei²

1. Department of Anesthesia, Tiantan Hospital, Affiliate of Capital University of Medical Sciences;2. Department of Neurobiology, Capital University of Medical Sciences

Received:1997-07-07 Revised:1900-01-01 Online:1998-04-15 Published:1998-04-15

摘要/Abstract

摘要： 将择期侧脑室腹腔分流术病人32例随机等分成星状神经节阻滞(SGB,S)和非SGB(N)2组.术前均肌注鲁米那、阿托品;S组以0.88%利多卡因于手术侧行SGB.2组均用局麻+杜冷丁+氟哌啶麻醉,术中刺激大时酌情加用氯胺酮.监测病人入室(T₀)到手术开始(T₄)、皮下造瘘(T₅)等各期的收缩压(SP)、舒张压(DP)和入室心率(HR)等,并记录静脉用药量和次数.结果:S组T₄和T₅时的SP、HR均低于N组(P<0.05和P<0.01);杜冷丁、氟哌啶和氯胺酮的用量和次数S组均少于N组(P<0.05和P<0.01).提示:SGB在手术中有加强镇痛、稳定循环的作用.

关键词: 星状神经节阻滞, 分流术, 交感神经系统

Abstract: Thirty two cases of patients for the surgery were selected: Luminal and atropine were administrated(c. m)before operation. Patients were randomly divided into 2 groups, SGB(S)and non-SGB(N). A solution of 0.88 % lidocain was ipsilaterrally injected in group S and its effectiveness was determined by pupil constriction. Both local and pethidine plus droperidol anesthesia were applied in the two groups and ketarnine was added when stimulation was stronger during the surgery. Systolic(SP)distolic(DP)and HR were simultaneously monitored at time of entry(T₀)beginning operation(T₄)and subcutaneous fistulation(T₅). Dosage and number of intravenous administration were also recorded. Both SP and HR at T₄ and T₅ were S<N(P<0.05 and 0.01 respectively). Dosage of both pethidime and ketamine was S<N P<0.05 and 0.01 respectively). These results indicate that the treatment of SGB may exert its role in improving analgesia and stabilization of circulation during surgery and its usage is recommended for sympathetic dominant patients during their operation.

Key words: stellate ganglionic block, by pass flow, sympathetic nervous system

中图分类号:

R614.4

赵春亭;吕国蔚. 星状神经节阻滞在侧脑室腹腔分流术中的应用[J]. 首都医科大学学报, 1998, 19(2): 152-154.

Zhao Chunting;Lü Guowei. An Application of Stellate Ganglionic Block in Operation of Ventricle peritoneal by-pass Flow[J]. Journal of Capital Medical University, 1998, 19(2): 152-154.

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