[超声引导下右星状神经节阻滞对肺叶切除患者围手术期房颤的影响：一项随机对照试验]
[Effect of ultrasound-guided right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy: a randomized controlled trial].
作者信息
Ouyang Ru, Li Xinrui, Wang Rui, Zhou Qiqi, Sun Yali, Lei Enjun
机构信息
The First Affiliated Hospital of Nanchang University, Department of Anesthesiology, Nanchang, China.
Nanchang University, Graduate School, Department of Medicine, Nanchang, China.
出版信息
Braz J Anesthesiol. 2020 May-Jun;70(3):256-261. doi: 10.1016/j.bjan.2020.03.007. Epub 2020 May 12.
OBJECTIVE
To observe the effects of preoperative right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy.
METHODS
Two hundred patients who underwent a scheduled lobectomy were randomly divided into the S and C groups. The S group was injected with 4 mL of 0.2% ropivacaine under ultrasound guidance, and the C group did not receive stellate ganglion block. The patients underwent continuous ECG monitoring, and the incidences of atrial fibrillation and other types of arrhythmias were recorded from the start of surgery to 24 hours after surgery.
RESULTS
The respective incidences of atrial fibrillation in the S group and the C group were 3% and 10% ( = 0.045); other atrial arrhythmias were 20% and 38% ( = 0.005); and ventricular arrhythmia were 28% and 39% ( = 0.09).
CONCLUSIONS
The results of the study indicated that preoperative right stellate ganglion block can effectively reduce the incidence of intraoperative and postoperative atrial fibrillation.
目的
观察术前右侧星状神经节阻滞对肺叶切除术患者围手术期房颤的影响。
方法
将200例行计划性肺叶切除术的患者随机分为S组和C组。S组在超声引导下注射4毫升0.2%罗哌卡因，C组未接受星状神经节阻滞。患者接受连续心电图监测，记录从手术开始至术后24小时房颤及其他类型心律失常的发生率。
结果
S组和C组房颤的发生率分别为3%和10%（P = 0.045）；其他房性心律失常分别为20%和38%（P = 0.005）；室性心律失常分别为28%和39%（P = 0.09）。
结论
研究结果表明，术前右侧星状神经节阻滞可有效降低术中和术后房颤的发生率。
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