Deng Jing-Jing, Zhang Cai-Ling, Liu Dian-Wen, Huang Tao, Xu Jian, Liu Qing-Yan, Zhang Yue-Nong
Department of Surgery and Anesthesia, The Third Affiliated Hospital of Sun Yat-sen University Yuedong Hospital, Meizhou 514700, Guangdong Province, China.
Department of Anesthesiology, Meizhou Hospital of Traditional Chinese Medicine, Meizhou 514700, Guangdong Province, China.
World J Clin Cases. 2023 Apr 6;11(10):2160-2167. doi: 10.12998/wjcc.v11.i10.2160.
The stellate ganglion (SG), as a type of sympathetic ganglion, consists of the sixth and seventh cervical vertebrae and the first thoracic sympathetic ganglia. SG block (SGB) is a minimally invasive injection that aims to inject low-concentration local anesthetics to induce a broad sympathetic blocking effect near the SG. There have been no changes and progress in the clinical application of SGB since the 1830s due to several potential risks, including hematoma from blood vessel injury, hoarseness from recurrent laryngeal nerve injury, and cardiopulmonary arrest. The feasibility and safety of SGB have greatly improved since the appearance of ultrasound-guided SGB. In recent years, SGB has been widely applied in the field of non-anesthesiology sedation, with significant therapeutic effects on pain, immunological diseases, somnipathy, psychological disorders, arrhythmias, and endocrine diseases. The present study reviews the present application of SGB in clinical practice.
星状神经节（SG）作为一种交感神经节，由第六和第七颈椎以及第一胸交感神经节组成。星状神经节阻滞（SGB）是一种微创注射方法，旨在注射低浓度局部麻醉剂以在星状神经节附近诱导广泛的交感神经阻滞效应。自19世纪30年代以来，由于存在多种潜在风险，包括血管损伤导致的血肿、喉返神经损伤导致的声音嘶哑以及心肺骤停，SGB的临床应用一直没有变化和进展。自从超声引导下的SGB出现以来，其可行性和安全性有了很大提高。近年来，SGB已广泛应用于非麻醉镇静领域，对疼痛、免疫性疾病、睡眠障碍、心理障碍、心律失常和内分泌疾病具有显著的治疗效果。本研究综述了SGB在临床实践中的当前应用情况。
