星状神经节阻滞治疗脑梗死36例疗效观察

Effect of Stellate Ganglion Block on Patients with Cerebral Infarction:Report of 36 Cases

目的观察星状神经节阻滞治疗脑梗死的疗效。方法36例脑梗死患者随机分为治疗组和对照组,每组18例。对照组给予神经内科护脑、脱水、降压、抗凝、抗感染以及改善微循环等药物治疗,治疗组在对照组治疗基础上加用星状神经节阻滞。结果与治疗前比较,治疗20 d时两组患者的神经功能缺损程度(NFD)评分明显降低(P<0.01),但治疗组的评分明显低于对照组(P<0.01);两组患者的Fugl-Meyer运动功能评定(FMA)和Barthel指数(BI)明显提高(P<0.01),但治疗组的评分明显高于对照组(P<0.01)。结论星状神经节阻滞治疗可改善脑梗死患者的神经功能,提高患者的生活质量。

Objective To observe the effect of stellate ganglion block on patients with cerebral infarction. Methods 36 patients with cerebral infarction were randomly divided into the control group and research group. Both two groups were treated with traditional treatment. The research group was added with stellate ganglion block. Results After 20 days treatment, the Neuro-function Deficit （NFD） scores of both two groups were significantly lower than that before treatment （P〈0.01） ; but the NFD scores of the research group were significantly lower than that of the control group （P 〈0.01）. The scores of Fugl-Meyer Assessment （FMA） and Barthel Index （BI） of both two groups were significantly higher after treatment （ P 〈0.01） ; but the scores of FMA and BI of the research group were significantly higher than that of the control group （ P 〈0.01）. Conclusion Stellate ganglion block can im prove the nerve function of patients with cerebral infarction.