胸锁乳突肌后缘入路星状神经节阻滞的临床应用

目的 观察胸锁乳突肌后缘人路(SPA)星状神经节阻滞(SGB)效果.方法 2 400例拟接受双出患者随机均分为两组.SPA组采用SPA法,传统气管旁人路(TPA)组采用TPA法,以相同药物浓度行SGB,比较两组成功率及相关并发症.结果 SPA组1 164例出现霍纳综合征(成功率97%),多于TPA组的1 108例(成功率92%)(P<0.05).SPA组发生因同血需要再次穿刺及喉返神经阻滞的例数明显少于TPA组(16例vs.98例,24例vs.37例)(P<0.05).结论 SPA法SGB较传统方法具有定位明确、操作简练、成功率高、并发症少等特点.

Application of satellite ganglion block via posterior edge of sternocleidomastoid approach

Objective To observe the outcomes of satellite ganglion block(SGB)via posterior edge of stcmoclcidomastoid approach.Methods SGB was performed in 2 400 patients,who wererandomly divided into two groups with l 200 cases each.The puncture of SGB in group SPA was via posterior edge of sternocleidomastoid approach and that in group TPA via traditional paratracheal approac}L The same local anesthetics was used in two groups.The success rate(Horner'S syndrome appearance)and complications were compared.Results The success rate was higher in group SPA than that in group TPA(97% VS.92%)(P<0.05).Repeated puncture was needed in 16 cases ingroup SPA,which were less than 98 cases in group TPA(P<0.05).Laryngeal nerve block wasoccurred in 24 cases in group SPA.which were less than 37 cases in group TPA(P<0.05).Conclusion Compared to the traditional paratracheal approach,SGB via posterior edge ofsternocleidomastoid approach has the advantages of clear positioning,easy puncture,higher success rate and less complications.