前入路双针穿刺法星状神经节阻滞260例

STELLATE GANGLION BLOCK OF 260 CASES WITH DOUBLE NEEDLES PUNCTURE THROUGH FRONT APPRACH

目的为探究出一种好的星状神经节阻滞的穿刺方法。方法对２６０例成年患者用单针和双针交替行星状神经节阻滞各５２０次，并且对两组的成功率和并发症进行了比较。结果双针组首次穿刺成功率为９９．２３％，而单针组仅为７５．２％。单针组显著低于双针组（Ｐ＜０．００５）。双针组的阻滞成功率显著高于单针组，而并发症显著低于单针组（Ｐ＜０．０１）。结论双针法星状神经节阻滞和单针法相比，一次穿刺和阻滞的成功率高，并发症少。

ObjectiveTo explore a better puncture method for stellate ganglion blook (SGB).MethodsSGB was alternately performed with double needle or single needle puncture method in 260 adult patients for 520 times respectively.The successful rates and complications were compared between the two groups.ResultsProper position was reached in 99.23 % of cases with double needle puncture method at first try,while that with single needle puncture method was only 75.2 %,which was significantly lower than that group ( P < 0.005 ).The successful block rate and complications for double needle pucture group were respectively higher and lower than those of single needle puncture group ( P < 0.01 ).ConclusionSGB with double needle pucture method could increase the successful block rate and deacrease the complications of SGB.SGB with double needle pucture method is superior to single needle puncture method.