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星状神经节阻滞与自主神经功能的调节研究进展

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星状神经节即颈胸交感神经节,由颈下神经节和胸一神经节输出形成,星状神经节将交感神经传导至上肢、头、颈和心脏.星状神经节阻滞是将局麻药物注入到星状神经节表面或周围,进而阻滞星状神经节所支配区域的自主神经活动.超声引导下星状神经节阻滞作为一种神经阻滞技术,可通过干预星状神经节的交感神经活动,调节自主神经功能,达到治疗相关病症的目的.本文总结并综述了近五年超声引导下星状神经节阻滞在自主神经功能调节方面的研究和临床应用,同时也对星状神经节阻滞治疗高原性疾病的未来发展做出展望.
Research Progress in Stellate Ganglion Block and Regulation of Autonomic Nervous Functions
Stellate ganglion(SG),also known as the cervical thoracic sympathetic ganglion,is formed by the fusion of the inferior cervical ganglion and the first thoracic ganglia.It is responsible for transmitting sympathetic innervation to the upper extremities,head,neck,and heart.Stellate ganglion block(SGB)involves the injection of local anesthetics on or around the surface of SG,which induces a broad autonomic nerve blocking effect in the area controlled by SG.As a nerve block technique,ultrasound-guided SGB can be used to regulate autonomic nervous functions and achieve therapeutic effects of the relevant diseases by interfering sympathetic nerve activities of SG.In this article,we summarized and reviewed the research and clinical applications of ultrasound-guided SGB in regulating autonomic nervous functions,focusing on publications from the past five years.Furthermore,we discussed the prospective development in applying SGB in the treatment of diseases associated with high-altitude environment.

Stellate ganglion blockAutonomic nervous functionSympathetic nervous systemPerioperative periodHigh altitudeReview

尚凯茜、孔清泉

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西藏自治区人民政府驻成都办事处医院(四川大学华西医院西藏成办分院)麻醉科(成都 610041)

四川大学华西医院骨科(成都 610041)

西藏自治区人民政府驻成都办事处医院(四川大学华西医院西藏成办分院)骨科(成都 610041)

星状神经节阻滞 自主神经功能 交感神经系统 围术期 高原 综述

2024

四川大学学报(医学版)
四川大学

四川大学学报(医学版)

CSTPCD北大核心
影响因子:0.961
ISSN:1672-173X
年,卷(期):2024.55(6)