超声引导下星状神经节阻滞加快胃癌根治术患者术后胃肠功能恢复
目的 探究超声引导下星状神经节阻滞(SGB)对腹腔镜下胃癌根治术患者围术期应激反应、胃肠激素和术后胃肠功能恢复的影响.方法 择期行腹腔镜胃癌根治术患者60例,性别不限,年龄35～75岁,BMI 18.5～26 kg/m2,ASA分组Ⅱ～Ⅲ级.采用随机数字表法将其分为实验组和对照组,各30例.实验组于麻醉诱导前15 min行超声引导下右侧C6水平SGB操作,注入0.5％罗哌卡因7 mL.对照组于同一部位注射生理盐水7 mL.选择SGB前(T1)、术毕(T2)、术后第2天(T3)、术后第6天(T4)时间点采集患者外周静脉血样,测定血中胃动素(MOT)、血管活性肠肽(VIP)、皮质醇(Cor)、血糖...
Saved in:
| Published in | 南方医科大学学报 Vol. 42; no. 2; pp. 300 - 304 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
蚌埠医学院第一附属医院麻醉科,安徽 蚌埠 233000
2022
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1673-4254 |
| DOI | 10.12122/j.issn.1673-4254.2022.02.19 |
Cover
| Abstract | 目的 探究超声引导下星状神经节阻滞(SGB)对腹腔镜下胃癌根治术患者围术期应激反应、胃肠激素和术后胃肠功能恢复的影响.方法 择期行腹腔镜胃癌根治术患者60例,性别不限,年龄35～75岁,BMI 18.5～26 kg/m2,ASA分组Ⅱ～Ⅲ级.采用随机数字表法将其分为实验组和对照组,各30例.实验组于麻醉诱导前15 min行超声引导下右侧C6水平SGB操作,注入0.5％罗哌卡因7 mL.对照组于同一部位注射生理盐水7 mL.选择SGB前(T1)、术毕(T2)、术后第2天(T3)、术后第6天(T4)时间点采集患者外周静脉血样,测定血中胃动素(MOT)、血管活性肠肽(VIP)、皮质醇(Cor)、血糖(Glu)水平;记录术中舒芬太尼使用量;记录术后36、48、60、72、84、96 h肠鸣音恢复率及首次排气时间.结果 与对照组相比较,两组舒芬太尼总用量差异无统计学意义;与对照组相比,实验组T2、T3、T4时点Cor水平较低,VIP水平较低,MOT水平较高(P<0.05).与对照组相比,实验组T2、T3时点Glu水平较低(P<0.05).与对照组相比,实验组术后36、48、60、72、84 h肠鸣音恢复率较高(P<0.05),术后排气时间缩短(P<0.05).结论 超声引导下SGB可以减轻腹腔镜下胃癌根治术患者围术期应激水平,促进胃肠激素分泌水平恢复,加快术后胃肠功能快速恢复. |
|---|---|
| AbstractList | 目的 探究超声引导下星状神经节阻滞(SGB)对腹腔镜下胃癌根治术患者围术期应激反应、胃肠激素和术后胃肠功能恢复的影响.方法 择期行腹腔镜胃癌根治术患者60例,性别不限,年龄35～75岁,BMI 18.5～26 kg/m2,ASA分组Ⅱ～Ⅲ级.采用随机数字表法将其分为实验组和对照组,各30例.实验组于麻醉诱导前15 min行超声引导下右侧C6水平SGB操作,注入0.5％罗哌卡因7 mL.对照组于同一部位注射生理盐水7 mL.选择SGB前(T1)、术毕(T2)、术后第2天(T3)、术后第6天(T4)时间点采集患者外周静脉血样,测定血中胃动素(MOT)、血管活性肠肽(VIP)、皮质醇(Cor)、血糖(Glu)水平;记录术中舒芬太尼使用量;记录术后36、48、60、72、84、96 h肠鸣音恢复率及首次排气时间.结果 与对照组相比较,两组舒芬太尼总用量差异无统计学意义;与对照组相比,实验组T2、T3、T4时点Cor水平较低,VIP水平较低,MOT水平较高(P<0.05).与对照组相比,实验组T2、T3时点Glu水平较低(P<0.05).与对照组相比,实验组术后36、48、60、72、84 h肠鸣音恢复率较高(P<0.05),术后排气时间缩短(P<0.05).结论 超声引导下SGB可以减轻腹腔镜下胃癌根治术患者围术期应激水平,促进胃肠激素分泌水平恢复,加快术后胃肠功能快速恢复. |
| Author | 李小雨 程向阳 姜玉玉 马沙沙 古翠方 |
| AuthorAffiliation | 蚌埠医学院第一附属医院麻醉科,安徽 蚌埠 233000 |
| AuthorAffiliation_xml | – name: 蚌埠医学院第一附属医院麻醉科,安徽 蚌埠 233000 |
| Author_FL | LI Xiaoyu CHENG Xiangyang JIANG Yuyu GU Cuifang MA Shasha |
| Author_FL_xml | – sequence: 1 fullname: LI Xiaoyu – sequence: 2 fullname: JIANG Yuyu – sequence: 3 fullname: GU Cuifang – sequence: 4 fullname: MA Shasha – sequence: 5 fullname: CHENG Xiangyang |
| Author_xml | – sequence: 1 fullname: 李小雨 – sequence: 2 fullname: 姜玉玉 – sequence: 3 fullname: 古翠方 – sequence: 4 fullname: 马沙沙 – sequence: 5 fullname: 程向阳 |
| BookMark | eNo9kDtLA0EcxLeIYIz5FjYWd_73cY8tJfiCgI1iGTZ7OUmQC3iISacJac5nI0SQ5DBaWUQsgnIRv4y7d34LI4rVDPODGZgFlAuaQQ2hJQwmJpiQlYZZD8PAxLZDDUYsZhIgxARiYp5D-f94HhXDsF4FC1MHLBvyaC-b9NToWU1v1Hj6-Xqm-8M0mqSPgzS5yqLOVz_RyUBFsfp4yrrd9PZcx2_6JdF3Y90ZZSe9mVHXlzOUdWIVDbPuuz69Vw8Xi2jOFwdhrfinBbS7vrZT2jTK2xtbpdWyEWJg3PCBewIcxwbX8TiWknDuU09WAbuUEdu2gVFJPUsIkK5f40QKYUvXoowyjBktoOXf3mMR-CLYrzSaR4fBbLHitRttr9Wq_jwBBDCn38EMdqQ |
| ContentType | Journal Article |
| Copyright | Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
| Copyright_xml | – notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
| DBID | 2B. 4A8 92I 93N PSX TCJ |
| DOI | 10.12122/j.issn.1673-4254.2022.02.19 |
| DatabaseName | Wanfang Data Journals - Hong Kong WANFANG Data Centre Wanfang Data Journals 万方数据期刊 - 香港版 China Online Journals (COJ) China Online Journals (COJ) |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitle_FL | Ultrasound-guided stellate ganglion block accelerates postoperative gastrointestinal function recovery following laparoscopic radical gastrectomy for gastric cancer |
| EndPage | 304 |
| ExternalDocumentID | dyjydxxb202202019 |
| GrantInformation_xml | – fundername: 大学生创新创业训练计划项目 funderid: (202110367047) |
| GroupedDBID | --- 2B. 4A8 92F 92I 93N ABJNI ACGFS ALMA_UNASSIGNED_HOLDINGS CW9 F5P PSX RPM TCJ TGQ U1G U5O |
| ID | FETCH-LOGICAL-s1049-f09da0776087d91cc299f3dcb018342666043c3d5aa0c8fe92caa6c8534341143 |
| ISSN | 1673-4254 |
| IngestDate | Thu May 29 04:08:04 EDT 2025 |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 2 |
| Keywords | 星状神经节阻滞;胃癌;胃肠激素;应激反应;胃肠功能 |
| Language | Chinese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-s1049-f09da0776087d91cc299f3dcb018342666043c3d5aa0c8fe92caa6c8534341143 |
| PageCount | 5 |
| ParticipantIDs | wanfang_journals_dyjydxxb202202019 |
| PublicationCentury | 2000 |
| PublicationDate | 2022 |
| PublicationDateYYYYMMDD | 2022-01-01 |
| PublicationDate_xml | – year: 2022 text: 2022 |
| PublicationDecade | 2020 |
| PublicationTitle | 南方医科大学学报 |
| PublicationTitle_FL | Journal of Southern Medical University |
| PublicationYear | 2022 |
| Publisher | 蚌埠医学院第一附属医院麻醉科,安徽 蚌埠 233000 |
| Publisher_xml | – name: 蚌埠医学院第一附属医院麻醉科,安徽 蚌埠 233000 |
| SSID | ssib051370560 ssib006562552 ssj0002923145 ssib002263520 ssib001186833 |
| Score | 2.3039274 |
| Snippet | 目的 探究超声引导下星状神经节阻滞(SGB)对腹腔镜下胃癌根治术患者围术期应激反应、胃肠激素和术后胃肠功能恢复的影响.方法 择期行腹腔镜胃癌根治术患者60例,性别不限,年龄35～75岁,BMI 18.5～26 kg/m2,ASA分组Ⅱ～Ⅲ级.采用随机数字表法将其分为实验组和对照组,各30例.实验组于麻醉诱导前15... |
| SourceID | wanfang |
| SourceType | Aggregation Database |
| StartPage | 300 |
| Title | 超声引导下星状神经节阻滞加快胃癌根治术患者术后胃肠功能恢复 |
| URI | https://d.wanfangdata.com.cn/periodical/dyjydxxb202202019 |
| Volume | 42 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Na9RAFA-lgngRRcWPKkU6p7J1MskkM8fJbkIR9NRibyUfu4qHFWwLbU_a0sv6eREqSFusnjxUPBRlK_4zZnf9L3xvMptGW0SFZfbtzHtv3vu9bOa97GZiWRO05UjHTqA2Eb5Tc6HUqcVZAokcNIzy2Leb-Ivurdve9Kx7c47PjYyOVf61tLSYTKWrx95X8j9RhT6IK94l-w-RLZVCB9AQX2ghwtD-VYxJKEjgEcFJyIlySECRCOpEFj0R0qFLAkFEQEKPSEFkREKfCIWCQChOZIhEEBARoUIYEoyEEpkDLQUt8nAcUsUUEVGBZnbwBeJSElFHZmAIpJZiRlzW0RIgQC0YiVJU21wOgQ3QE1YUCs1MzaQyMkNBQ-uxiWLaQUiEG9X0WvM3iPS1ck9bwtEwtAScBTttIwg0Eg2ivArhaR_58DDUahraNI7oIkIATECUOGThWm9dwxoSIUuiygKSMCniHGm_jHmHLJIoeNUNclKWRPW6DDus3xERqTToHAEyYBWulv5I1IRg-ahblUcDNUPC1Z7ZwwAX4qWUJIEyPcIzrhUgMj2vKvwFDSHEZvKoTZPMcSillaXPwy8rK7b0Hq6NLqucA1hloXOMaNN8co9djiEvYno9xhmmyhmmEC_cKteslr9ueJ6t3F_JlpcTZIJiBvf0PcF83-a_XYuz8UkPTjUZheS5Uvx4WNvzMnnntuPT4cUAzNMY1jb6KealYSetiaHZN_5gtL7Br92K23cruejMGeu0KSLHVXFGOGuNrN47Z90Z7G_kux_zg1f53sH3z096m9v9zn7__Va_-2LQWfux2e11t_LOTv7tw2B9vf_6aW_nS-9Tt_dmr7e2O3i0AUT-8jkMDdZ28s72YP1r7_Hb_N2z89ZsFM7Up2vmsSm1BRvq_VqLyizGXbqo8DNppylknC0nSxMKyzcm5B51ndTJeBzTVLSakqVx7KWQt7uQ0kL9dMEabT9oNy9a457knt-EqjCjscsSHsN7BqjLVLCs5dFL1nUDxLw5LS7MHwnf5b9humKdQrq4uDlmjS4-XGpehXR_Mbmmo_4T6N_DCA |
| linkProvider | National Library of Medicine |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E8%B6%85%E5%A3%B0%E5%BC%95%E5%AF%BC%E4%B8%8B%E6%98%9F%E7%8A%B6%E7%A5%9E%E7%BB%8F%E8%8A%82%E9%98%BB%E6%BB%9E%E5%8A%A0%E5%BF%AB%E8%83%83%E7%99%8C%E6%A0%B9%E6%B2%BB%E6%9C%AF%E6%82%A3%E8%80%85%E6%9C%AF%E5%90%8E%E8%83%83%E8%82%A0%E5%8A%9F%E8%83%BD%E6%81%A2%E5%A4%8D&rft.jtitle=%E5%8D%97%E6%96%B9%E5%8C%BB%E7%A7%91%E5%A4%A7%E5%AD%A6%E5%AD%A6%E6%8A%A5&rft.au=%E6%9D%8E%E5%B0%8F%E9%9B%A8&rft.au=%E5%A7%9C%E7%8E%89%E7%8E%89&rft.au=%E5%8F%A4%E7%BF%A0%E6%96%B9&rft.au=%E9%A9%AC%E6%B2%99%E6%B2%99&rft.date=2022&rft.pub=%E8%9A%8C%E5%9F%A0%E5%8C%BB%E5%AD%A6%E9%99%A2%E7%AC%AC%E4%B8%80%E9%99%84%E5%B1%9E%E5%8C%BB%E9%99%A2%E9%BA%BB%E9%86%89%E7%A7%91%2C%E5%AE%89%E5%BE%BD+%E8%9A%8C%E5%9F%A0+233000&rft.issn=1673-4254&rft.volume=42&rft.issue=2&rft.spage=300&rft.epage=304&rft_id=info:doi/10.12122%2Fj.issn.1673-4254.2022.02.19&rft.externalDocID=dyjydxxb202202019 |
| thumbnail_s | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Fdyjydxxb%2Fdyjydxxb.jpg |