星状神经节阻滞对胃肠肿瘤手术患者应激反应及术后恢复的影响

目的探讨星状神经节阻滞对胃肠肿瘤手术患者的应激反应及术后恢复的影响。方法将78例胃肠肿瘤择期手术患者随机分为对照组（采用全麻）和试验组（采用全麻加星状神经节阻滞），每组39例，分别测定2组患者麻醉前、切皮时、切皮后1h及术毕时血糖水平及血清皮质醇浓度，并观察术后苏醒时间、经口进食时间、首次排气时间及术后并发症的发生情况。结果试验组患者切皮后1h、术毕时的血糖水平及切皮时、切皮后1h及术毕时的皮质醇水平均明显低于对照组，差异均有统计学意义；试验组患者术后苏醒时间、经口进食时间及首次排便时间均显著短于对照组，差异有统计学意义，而2组并发症发生率比较，差异无统计学：卷义。结论星状神经节阻滞可明显减轻胃肠肿瘤手术患者的应激反应，促进术后胃肠功能恢复，加速术后康复。

Effects of stellate ganglion block on the stress response and postoperative recovery in patients with gastrointestinal tumors

Objective To observe the effects of stellate ganglion block （SG-B） on the stress response and postoperative recovery in patients underwent gastrointestinal surgery due to tumors. Methods Seventy- eight patients with gastrointestinal tumors and conducted the surgery at the se- lective term were randomly divided into control group given general anesthesia and trial group given general anesthesia and SGB, 39 cases in each group. The levels of blood glucose and serum cortisol were detected at the following four time points： before anesthesia, at incision, 1 h after incision and after surgery, and postoperative awakening time, time to take food, the first aerofluxus time and occurrence of complications were observed. Results The levels of blood glucose 1 h after incision and after surgery as well as cortisol at incision, 1 h after incision and after surgery in trial group were evidently lower than in control group, and the differences had statistical significance. The postoperative awakening time, time to take food and the first aerofluxus time in trial group were all shorter than in control group significantly, and the statistical significance was presented, whereas compared with the incidence of complications in two groups, there was no statistical significance. Conclusion SBG can notably alleviate the stress response of patients underwent gastrointestinal surgery due to tumors, promote the postoperative gastrointestinal functional recovery and accelerate the rehabilitation.