国际麻醉学与复苏杂志   2012, Issue (9): 3-3
    
星状神经节阻滞对术后认知功能障碍的影响
陈勇, 徐国海1()
1.南昌大学研究生院医学部
Effect of stellate ganglion block on postoperative cognitive dysfunction
 全文:
摘要:

背景 术后认知功能障碍(postoperative cognitive dysfunction,POCD)的发生率已日趋升高。近年来,针对POCD已展开了许多研究,发现星状神经节阻滞(stellate ganglion block,SGB)对POCD有重要作用。目的 综述SGB对POCD的影响,旨在为临床上研究POCD的防治提供可能的理论依据。内容 SGB是临床较常用的一种阻滞技术,其治疗范围越来越广泛,治疗效果也越来越确切,不仅应用于疼痛性疾病的治疗,也日益广泛地用于神经性、内分泌性及免疫障碍性等非疼痛疾病的治疗,并取得相当显著的疗效,研究发现它对POCD有重要作用。趋向 尽管至今POCD的病因和发病机制仍不清楚。但SGB在防治老年患者POCD方面有较大的研究空间。

关键词: 星状神经节阻滞;术后认知功能障碍
Abstract:

Background The incidence of postoperative cognitive dysfunction(POCD) has been increasing. More and more recent studies on POCD indicate that stellate ganglion block (SGB) is important for the treatment of POCD. Objective To provide a potential theoretical basis for the prevention and treatment of POCD by SGB in clinic. Content SGB is a widely used block technique in clinic. In addition to its therapeutic effects on pain related diseases, SCG can also be used for the treatment of non-pain related diseases, such as, neuropathic diseases,endocrine diseases,immune disorders, etc, and the therapeutic effects are quite promising. SCG also plays a significant role in the treatment of POCD. And it has obtained a quite remarkable curative effect,Studies have found that it has an important role in POCD. Trend The etiology and pathogenesis of POCD remain to be elucidated, but the prevention and treatment of POCD in elderly patients by SCG will open a broad research field.

Key words: Stellate ganglion block;Postoperative cognitive dysfunction