Study on Postoperative Outcome of Ultrasound-guided Right Stellate Ganglion Block in Patients with Acute Craniocerebral Trauma and Neurogenic Heart Disease
Objective To investigate whether the application of right stellate ganglion block(RSGB)in emergency surgery can contribute to the outcome of postoperative myocardial injury in patients with acute craniocerebral trauma and neurogenic heart disease.Methods A total of 122 patients with acute craniocerebral trauma and neurogenic heart disease who underwent emergency surgery in our hospital from June 2022 to June 2023 were selected and divided into conventional group(n=61)and RSGB group(n=61)according to the random number table method.The conventional group was treated with general general anesthesia,and the RSGB group was treated with RSGB assisted anesthesia on the basis of conventional anesthesia.After operation,both groups were treated according to the clinical guidelines of cerebrovascular disease.The serum creatine kinase(CK),creatine kinase isoenzyme(CM-MB),B-type natriuretic peptide(BNP),cardiac troponin T(CTNT)at 1 h before operation,6 h after operation and 7 days after operation,the occurrence time and remission time of NCM were compared between the two groups.Results The levels of CK,CM-MB,BNP and CTNT in the two groups increased first and then decreased.The levels of CK,CM-MB,BNP and CTNT in the RSGB group were lower than those in the conventional group,and the differences were statistically significant(P＜0.05).The NCM of the RSGB group was shorter than that of the conventional group,and the difference was statistically significant(P＜0.05).Conclusion RSGB in surgical anesthesia for patients with acute craniocerebral trauma and neurogenic heart disease can alleviate myocardial injury to a certain extent and effectively improve the short-term prognosis of patients.
万方数据
维普
