星状神经节阻滞对颈动脉内膜剥脱术术后认知功能的影响

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Abstract Objective To investigate the effect of stellate ganglion block on the cognitive function after carotid endarterectomy.Methods A total of 60 patients with carotid artery stenosis who were admitted to Ganzhou People′s Hospital from January 2018 to January 2021 were selected as the study subjects.According to the convenience sampling method,they were randomly divided into a control group (30 cases)and an experiment group (30 cases).The control group was given ordinary general anesthesia,and the experiment group was given stellate ganglion block (SGB)on the basis of the control group.The therapeutic effects,the scores of mini-mental state examination (MMSE)and Montreal cognitive assessment scale (MoCA)at one day before the operation and one,three,seven days after the operation,the levels of serum brain-derived neurotrophic factor(BDNF)and interleukin-6 (IL-6)were compared between the two groups before and after operation.Results The total effective rate of treatment in the experiment group was higher than that in the control group,and the difference was statistically significant(P＜0.05).There were no statistically significant differences in MMSE and MoCA scores between the two groups at one day before the operation(P＞0.05).At one,three,seven days after the operation,the MMSE and MoCA scores in the experiment group were higher than those in the control group in the same period,and the differences were statistically significant(P＜0.05).Before the operation,there were no statistically significant differences in BDNF and IL-6 levels between the two groups(P＞0.05).After the operation,the levels of BDNF and IL-6 in the two groups were higher than those before the operation in the group,and the levels of BDNF and IL-6 in the experiment group were higher than those in the control group in the same period,and the differences were statistically significant(P＜0.05).Conclusion Stellate ganglion block has a significant effect on improving cognitive function after carotid endarterectomy,and it is good safety.Further popularization and application can help improve the therapeutic effect and reduce the occurrence of adverse reactions.

Key words： Stellate ganglion block Carotid artery stenosis Clinical effects Carotid endarterectomy

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	LAN Qing-hai

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LAN Qing-hai. Effect of stellate ganglion block on the cognitive function after carotid endarterectomy[J]. 中国当代医药, 2021, 28(31): 42-45.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I31/42

[4]	吴逊.全国第四届脑血管病学术会议纪要[J].卒中与神经疾病，1997，3（2）：51-55.
[5]	冯琼华，周波，于大林.中文版蒙特利尔认知评估量表和简易智力量表相关性分析[J].西部医学，2011，23（9）：1718-1720.
[6]	郭春雷.尼莫地平治疗脑出血后缺血性脑损伤临床疗效及安全性观察[J].中国现代医生，2020，58（8）：110-112.
[7]	刘功俭.星状神经节阻滞对单肺通气老年患者脑组织氧饱和度及术后神经认知能力的影响[J].医学研究杂志，2020，49（7）：127-130.
[8]	冯涛，李晶，郑殿宇，等.颈动脉狭窄患者行颈动脉内膜剥脱术后近远期疗效及心脑血管事件发生的危险因素[J].中国普外基础与临床杂志，2020，27（6）：45-50.
[9]	王涛，陈秀侠，黄晶晶，等.超声引导颈浅丛神经阻滞联合全身麻醉对颈动脉内膜剥脱术患者术后恢复质量及认知功能的影响[J].中华老年多器官疾病杂志，2020，19（9）：45-50.
[10]	张景伟，曹凤军.颈动脉内膜剥脱术对20例颈内动脉狭窄患者视力与持续注意功能的改善作用[J].卒中与神经疾病，2019，26（1）：75-78，83.
[11]	訾刘留，殷均奎，王友成，等.脑-星状神经节-心房通路调控巨噬细胞对犬急性脑卒中后心房颤动的影响[J].中华心律失常学杂志，2020，7（1）：34-40.
[12]	胡泊.星状神经节置管连续阻滞治疗卒中后丘脑痛的疗效分析[J].中国疼痛医学杂志，2019，11（8）：1093
[13]	王静瑞，张加强，王开伟，等.乌司他丁对老年患者胸科手术后早期认知功能的影响[J].中国神经免疫学和神经病学杂志，2019，26（6）：51-55.
[1]	陈灵儿.0.5%罗脈卡因星状神经节阻滞对腹部手术后应激反应，免疫和胃肠功能的影响[J].医学临床研究，2020，9（3）：361-363.
[2]	贾莲明，胡引芳，余文富.超声引导下星状神经节阻滞对老年腹腔镜胆囊切除术脑部血液灌注和认知功能的影响[J].安徽医药，2020，7（10）：98.
[3]	刘代云，孙凯，张宇帆，等.超声引导下星状神经节阻滞对全麻沙滩椅位肩关节镜手术患者术中rSO2的影响 [J].中华麻醉学杂志，2020，30（10）：1221-1223.
[14]	王小荣，赵自刚.星状神经节阻滞在重症医学领域中的应用[J].中国急救医学，2019，39（3）：198.
[15]	项海飞，林仙菊，陈斌，等.咪达唑仑联合右美托咪定对颈动脉内膜剥脱术后患者神经功能的影响[J].中国现代医生，2020，58（14）：117-120.