星状神经节阻滞改善术后胃肠功能障碍的研究进展

Research progress on stellate ganglion block for improvement of postoperative gastrointestinal dysfunction

  • 摘要: 术后胃肠功能障碍(POGD)严重影响患者预后, 而安全有效地改善胃肠功能可促进患者术后快速康复。星状神经节阻滞(SGB)可抑制交感神经活性,调控植物神经系统功能,改善胃肠血液供应,减少阿片类药物使用,调控胃肠激素分泌,促进胃肠功能恢复。本文总结SGB改善POGD既往研究及效果,探讨SGB改善POGD的作用机制,为POGD的预防及治疗提供依据。

     

    Abstract: Postoperative gastrointestinal dysfunction (POGD) can seriously affect the prognosis of patients, and the safe and effective improvement of gastrointestinal function can promote the rapid postoperative recovery in patients. Stellate ganglion block (SGB) can inhibit sympathetic nerve activity, regulate autonomic nervous system function, improve gastrointestinal blood supply, reduce the use of opioid drugs, regulate gastrointestinal hormone secretion, and promote the recovery of gastrointestinal function. This paper summarized the previous studies and effects of SGB on improving POGD and discussed the mechanism of SGB on improving POGD, thereby providing evidence for the prevention and treatment of POGD.

     

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