摘要
将择期侧脑室腹腔分流术病人32例随机等分成星状神经节阻滞(SGB,S)和非SGB(N)2组。术前均肌注鲁米那、阿托品;S组以0.88%利多卡因于手术侧行SGB。2组均用局麻+杜冷丁+氟哌啶麻醉,术中刺激大时酌情加用氯胺酮。监测病人入室(T0)到手术开始(T4)、皮下造瘘(T5)等各期的收缩压(SP)、舒张压(DP)和入室心率(HR)等,并记录静脉用药量和次数。结果:S组T4和T5时的SP、HR均低于N组(P<0.05和P<0.01);杜冷丁、氟哌啶和氯胺酮的用量和次数S组均少于N组(P<0.05和P<0.01)。提示:SGB在手术中有加强镇痛。
hirty two cases of patients for the surgery were selected: Luminal and atropine were admi nistrated (i.m) before operation.Patients were randomly divided into 2 groups, SGB(S) and non SGB(N). A solution of 0.88% lidocain was ipsilaterrally injected in group S and its effectiveness was determined by pupil constriction. Both local and pethidine plus droperidol anesthesia were applied in the two groups and ketamine was added when stimulation was stronger during the surgery. Systolic(SP), distolic(DP) and HR were simultaneously monitored at time of entry(T 0),beginning operation (T 4), and subcutaneous fistulation(T 5). Dosage and number of intravenous administration were also recorded. Both SP and HR at T 4 and T 5 were S<N( P <0.05 and 0.01, respectively). Dosage of both pethidime and ketamine was S<N( P <0.05 and 0.01, respectively). These results indicate that the treatment of SGB may exert its role in improving analgesia and stabilization of circulation during surgery and its usage is recommended for sympathetic dominant patients during their operation.
出处
《首都医科大学学报》
CAS
1998年第2期152-154,共3页
Journal of Capital Medical University
关键词
星状神经节阻滞
麻醉
脑室腹腔分流术
stellate ganglionic block
by pass flow
sympathetic nervous system