Analysis of the therapeutic effect of ultrasound-guided stellate ganglion block in the treatment of coronary heart disease combined with insomnia
Aim To analyze the efficacy of ultrasound-guided stellate ganglion block(U-SGB)in the treatment of coronary heart disease(CHD)complicated with insomnia.Methods 98 patients with CHD combined with insomnia were randomly divided into an observation group(conventional treatment+U-SGB)and a control group(conventional treatment).The electrocardiogram re-sults,hypothalamic pituitary adrenaline levels,sleep quality,and quality of life improvement between two groups were compared.Results Compared with the situations before intervention,the heart rate of the two groups slowed down,and the QT interval and QT dispersion shortened(P＜0.05)after intervention;The observation group showed more significant improvement in heart rate and QT dispersion compared with the control group(P＜0.05).Compared with the situations before intervention,the adrenocorticotropic hor-mone(ACTH),corticotropin-releasing hormone(CRH),cortisol(Cor),and Pittsburgh sleep quality index(PSQI)indices of the two groups decreased,and the world health organization quality of life BREF(WHOQOL-BREF)score increased(P＜0.05)after in-tervention;And the observation group showed more significant improvement than the control group(P＜0.05).Conclusion U-SGB has a significant therapeutic effect on patients with CHD combined with insomnia,which can prevent arrhythmias and improve hy-pothalamic pituitary adrenaline levels,sleep quality,and quality of life.
万方数据
维普
