国际麻醉学与复苏杂志   2021, Issue (8): 12-12
    
星状神经节阻滞治疗创伤后应激障碍的研究现状
刘猛, 徐丰瀛, 王额尔敦1()
1.中国人民解放军海军第九七一医院
Research progress on stellate ganglion block in the treatment of post‑traumatic stress disorder
 全文:
摘要:

创伤后应激障碍(post‑traumatic stress disorder, PTSD)是一种经历或目睹危及生命的创伤后产生的慢性焦虑障碍,目前缺乏有效的治疗手段。近年来星状神经节阻滞(stellate ganglion block, SGB)被尝试用于治疗PTSD。文章介绍了PTSD的诊断标准及SGB的适应证,通过总结早期的个案报道、回顾性研究和近年的随机对照试验,阐明了SGB可改善PTSD患者的主观感受和量表评分,探讨了其机制可能与调节交感神经和大脑杏仁核活性以及抑制星状神经节内神经生长因子等相关,并简述了新技术改革大幅提升了SGB的安全性和有效性,为PTSD的临床应用和基础研究提供参考。

关键词: 创伤后应激障碍; 星状神经节阻滞; 交感神经系统
Abstract:

Post‑traumatic stress disorder (PTSD) is a chronic anxiety disorder caused by seeing or experiencing life‑threatening traumatic events, with lack of effective treatment. In recent years, stellate ganglion block (SGB) has been used to treat PTSD. This review introduces the diagnostic criteria of PTSD and the indications of SGB, summarizes previous evidence including case reports, retrospective studies and recent randomized controlled trials, which indicates that SGB can improve the subjective feelings and rating scores in PTSD patients, discusses the underlying mechanisms involving the regulation of sympathetic nerve and amygdala as well as the inhibition of nerve growth factor in stellate ganglion, and describes new techniques that can greatly improve SGB safety and effectiveness, so as to provide reference for further clinical and basic research of PTSD.

Key words: Post‑traumatic stress disorder; Stellate ganglion block; Sympathetic nervous system