前瞻性研究表明，超声引导下星状神经节阻滞可改善脑卒中患者的脑血流。

Prospective study on ultrasound-guided stellate ganglion block improves cerebral blood flow in patients with stroke.

机构信息

Department of anesthesiology and pain, People's Hospital of Chongqing Liang Jiang New Area; Liangjiang New Area Chongqing 401121, China.

出版信息

J Stroke Cerebrovasc Dis. 2024 Apr;33(4):107593. doi: 10.1016/j.jstrokecerebrovasdis.2024.107593. Epub 2024 Jan 28.

DOI:10.1016/j.jstrokecerebrovasdis.2024.107593

PMID:38290686

Abstract

OBJECTIVES

The effect of routine internal medicine and stroke rehabilitation treatment was not good. To confirm that ultrasound-guided stellate ganglion block (SGB) can improve cerebral blood flow in patients with stroke, Transcranial Doppler (TCD) and carotid ultrasound were used to monitor the cerebral blood flow parameters of ultrasound-guided SGB in patients with stroke.

METHODS

A prospective study of 40 patients with stroke from January 2021 to October 2022 randomly divided into two groups (group SGB: undergoing ultrasound-guided SGB and standard medical procedures, control group: undergoing standard medical procedures) with 20 cases in each was conducted in People's Hospital of Chongqing Liang Jiang New Area. TCD and carotid artery ultrasound were monitored before and after treatment. There were no significant differences in general data on age, gender, disease course, and stroke type between two groups (P>0.05).

RESULTS

After treatment, the bilateral ACA Vm of group SGB was significantly higher, the bilateral internal carotid artery RI and left VA RI were significantly lower than in control group (P<0.05). In group SGB, the Vm of bilateral MCA, bilateral PCA, right ACA, bilateral VA, and BA after treatment were significantly (P<0.05) increased compared to before treatment. PI of bilateral MCA, right ACA, and left VA after treatment were significantly (P<0.05) decreased compared to before treatment. RI of bilateral MCA, bilateral PCA, and bilateral VA after treatment were significantly (P<0.05) decreased compared to before treatment. Right internal carotid artery D after treatment was significantly (P<0.05) higher than before treatment. RI of bilateral internal carotid artery after treatment was significantly (P<0.05) lower than before treatment.

CONCLUSIONS

Ultrasound-guided stellate ganglion block could improve local cerebral blood flow and vascular compliance in patients with stroke, and reduce vascular resistance.

摘要

目的

常规内科和中风康复治疗效果不佳。为了确认超声引导星状神经节阻滞（SGB）可以改善中风患者的脑血流，使用经颅多普勒（TCD）和颈动脉超声监测中风患者超声引导 SGB 的脑血流参数。

方法

2021 年 1 月至 2022 年 10 月，前瞻性研究了 40 例来自重庆两江新区人民医院的中风患者，随机分为两组（SGB 组：接受超声引导 SGB 和标准医疗程序，对照组：接受标准医疗程序），每组 20 例。治疗前后监测 TCD 和颈动脉超声。两组患者在年龄、性别、病程和中风类型等一般资料方面无明显差异（P>0.05）。

结果

治疗后，SGB 组双侧大脑前动脉 Vm 明显升高，双侧颈内动脉 RI 和左侧椎动脉 RI 明显降低（P<0.05）。SGB 组治疗后双侧大脑中动脉、双侧大脑后动脉、右侧大脑前动脉、双侧椎动脉和基底动脉 Vm 明显升高（P<0.05），与治疗前相比。治疗后双侧大脑中动脉、右侧大脑前动脉和左侧椎动脉 PI 明显降低（P<0.05），与治疗前相比。治疗后双侧大脑中动脉、双侧大脑后动脉和双侧椎动脉 RI 明显降低（P<0.05），与治疗前相比。治疗后右侧颈内动脉 D 明显升高（P<0.05），与治疗前相比。治疗后双侧颈内动脉 RI 明显降低（P<0.05），与治疗前相比。