星状神经节阻滞治疗自主神经功能紊乱综合征前后的血流动力学变化

THE CHANGE OF HEMODYNAMICS BEFORE AND AFTER TREATMNET IN PATIENTS WITH AUTONOMIC NERVOUS DYSFUNCTION SYNDROMES

目的 :探讨自主神经功能紊乱综合征治疗前后的血流动力学变化。方法 :选择 30例自主神经功能紊乱综合征患者 ,采用星状神经节阻滞 (SGB)复合Naosan疗法和音乐运动疗法 ,并分别测定治疗前后的动脉收缩压 (SBP)、舒张压 (DBP)、脉搏 (HR)、每搏输出量 (SV)、心脏指数 (CI)以及体循环血管阻力 (SVR)。结果 :治疗前后比较平卧位时仅表现为SVR有统计学意义 (P <0 .0 1) ;站立 10min后SBP、SV、CI有显著性升高而SVR有显著性降低 (P <0 .0 5或P <0 .0 1)。结论 :治疗后自主神经功能紊乱综合征患者自觉症状有很大改善 ,血流动力学趋于平稳 ,因此 ,星状神经节阻滞复合Naosan疗法及音乐运动疗法对治疗本症有一定价值。

Objective: To investigate the change of hemodynamics before and after treatments in patients with autonomic nervous dysfunction syndromes (ANDS). Methods: Thirty patients with ANDS were selected and treated with stellate ganglion block (SGB), Naosan therapy and music sport theropy. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), stroke volume (SV), cardiac index (CI) and systemic vascular resistance (SVR) were monitored in supine and standing positions. Results: There was significant difference in SVR in supine position ( P <0.01) and SBP, SV, CI and SVR in standing position ( P <0.05 or P <0.01) between pre and post treatments. Conclusion: The subjective symptoms after treatment were improved greatly and the hemodynamics were becoming stable. Thus, the combined therapy for ANDS was valuable.