摘要
目的探讨星状神经节阻滞对失血性休克患者胃肠功能障碍的影响。方法 40例失血性休克患者随机分为对照组与试验组,各20例。对照组采用常规麻醉处理和抗休克治疗,试验组在对照组基础上加用星状神经节阻滞术。比较两组胃肠功能、血浆胃泌素(GAS)及胃动素(MTL)水平的差异。结果试验组肠蠕动时间及肛门排气时间低于对照组(P<0.05)。治疗48 h、5 d试验组GAS水平较治疗24 h显著增加(P<0.05),且显著高于同期对照组(P<0.05);治疗48 h、5 d试验组患者MTL水平较治疗24 h显著下降(P<0.05),但其显著高于同期对照组(P<0.05)。结论星状神经节阻滞对失血性休克患者胃肠功能效果显著,其能够有效促进肠蠕动及肛门排气,血浆GAS、MTL也较高,值得临床选择。
Objective To investigate influence by stellate ganglion block on gastrointestinal dysfunction of hemorrhagic shock patients. Methods A total of 40 hemorrhagic shock patients were randomly divided into control group and experimental group, with 20 cases in each group. The control group received conventional anesthesia and antishock therapy, and the experimental group received additional stellate ganglion block. Comparison was made on gastrointestinal function, plasma gastrin（GAS） and motilin（MTL） levels between the two groups. Results The experimental group had lower bowel movement time and anus exhaust time than the control group（P0.05）. After 48 h and 5 d of treatment, the experimental group had much higher GAS level than that in 24 h（P0.05）, and its increase was also higher than the control group（P0.05）. After 48 h and 5 d of treatment, the experimental group had much lower MTL level than that in 24 h（P0.05）, while it was much higher than that in the control group（P0.05）. Conclusion Stellate ganglion block shows precise effect for gastrointestinal function of hemorrhagic shock patients, and it can effectively accelerate bowel movement, anus exhaust time, and improve plasma GAS and MTL levels. This method is worth clinical application.
出处
《中国现代药物应用》
2016年第10期20-21,共2页
Chinese Journal of Modern Drug Application
关键词
星状神经节阻滞
失血性休克
胃肠功能障碍
Stellate ganglion block
Hemorrhagic shock
Gastrointestinal dysfunction
