颈中交感神经节阻滞方法和并发症预防

METHOD OF MIDDLE CERVICAL GANGLION BLOCK AND PREVENTION OF COMPLICATIONS

摘要:

为比较颈中神经节和星状神经节的阻滞效果和并发症，将２３个病例随机分为颈中节组，共阻滞１００例次，和星状节组，共阻滞８０例次。阻滞药液均为１％利多卡因１０ｍｌ（含维生素Ｂ１２０．５ｍｇ、当归液１～２ｍｌ或／和地塞米松２．５～５ｍｇ）。颈中节组采取气管旁颈６横突法，星状节组采取气管旁颈７横突法。两组均以出现霍纳氏综合征为阻滞成功的标准。结果；颈中节组成功率为９８％，星状节组为９１．２％，差异性非常显著（Ｐ＜０．０１），前者声嘶、咽部不适发生率明显低于后者（Ｐ＜０．０５）。我们认为颈中神经节阻滞同样能获得良好效果，迅速出现霍纳氏综合征，其方法比星状神经节阻滞更简便、安全、可靠，故对头面部疾患，可选用颈中神经节阻滞。但操作亦应谨慎，以防止发生并发症。

Abstract:

The aim of this study was to compere the effect and complications of middle cervi cal ganglion block(MCGB)with that of stellate ganglion block(SGB).23 cases were ran domly distributed to MCGB group(100 injections)and SGB group(80 injections).10ml of 1% lidocaine(containing 0.5mg of VB12,1-2 ml of Denggui solution and/or 2.5-5mgdexamethasone)was injected.Injections were made near the transverse process of C6 and C7spine for GCMB and SGB,respectively.The appearance of Horner's syndrome was em ployed as the standard of success.Result:The success rates in MCGB group were 98%,wnich was significantly higher than SGB group(91.2%,PM 0.01),while the occurrencerate of hoarseness and pharynx discomfort was significantly lower(P<0.05).ConClusion:Since MCGB lead to the same good effects as SGB with a rapid Horner's syndrome displayand Simpler,safer,more relisble operation,we suggest to use MCGB in face and bed disor ders,when applicable.