| 星状神经节阻滞在冠心病非心脏手术围术期的临床观察 |
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| 引用本文： | 陆志伟,黄才耀,林玉霜.星状神经节阻滞在冠心病非心脏手术围术期的临床观察[J].吉林医学,2010,31(4):458-460. |
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| 作者姓名： | 陆志伟 黄才耀 林玉霜 |
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| 作者单位： | 福建医科大学附属漳州市医院麻醉科; |
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| 摘 要： | 目的:观察星状神经节阻滞(SGB)在冠心病非心脏手术围术期改善心肌氧供需平衡的效果。方法:将确诊合并冠心病、无近期心肌梗死的胃癌患者30例随机分为两组,A组右星状神经节阻滞(R-SGB)后全身麻醉;B组只行全身麻醉。两组患者术前和诱导、麻醉用药相同。观察记录气管插管时和手术开始10 min后血压(MAP)、心率(HR)、率压比积(RPP)以及心电图的变化。以SPSS11.5统计软件包进行数据处理。结果:A组在SGB后HR、MAP、RPP显著下降,与B组比较,麻醉前、插管即刻、术中10 min HR、RPP明显低下。结论:SGB能显著改善冠心病非心脏手术围术期的心肌氧供需平衡,从而提高手术的安全性。
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| 关 键 词： | 星状神经节阻滞 冠心病 非心脏手术 氧供 氧耗 |
Effects of stellate ganglion block on coronary atherosclerotic heart disease undergoing non-cardiac surgery |
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| LU Zhi-wei,HUANG Cai-yao,LIN Yu-shuang.Effects of stellate ganglion block on coronary atherosclerotic heart disease undergoing non-cardiac surgery[J].Jilin Medical Journal,2010,31(4):458-460. |
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| Authors: | LU Zhi-wei HUANG Cai-yao LIN Yu-shuang |
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| Institution: | Department of Anesthesiology;the Affiliated Zhangzhou Municipal Hospital Fujian Medical University;Zhangzhou;363000;China |
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| Abstract: | Objective To observe the effect of stellate ganglion block on myocardium oxygen supply-consume balance in coronary heart disease patients.Method Thirty concurrent coronary atherosclerotic heart disease patients received gastric carcinoma radical,none of them suffered from myocardial infarction before operation in 3 months.All cases received same general anesthesia regime but were assigned into two groups randomly.Group A received right stellate ganglion block before anesthesia.Group B were normal control gr... |
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| Keywords: | Stellate ganglion block Coronary atherosclerotic heart disease Non-cardiac surgery Oxygen supply Oxygen consume |
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