摘要星状神经节阻滞(SGB)是目前疼痛科与麻醉科临床工作中广泛使用的治疗方法,用于治疗多种疼痛及非疼痛类疾病如头面部、耳鼻喉、口腔、颈肩部及上肢的疼痛,对于难治性心绞痛、心律失常、抑郁症等疾病也有一定疗效。过去常用体表定位法进行阻滞,近年来超声在疼痛科普及应用后,超声引导下SGB逐渐成为主流。本共识总结多位专家临床经验,从星状神经节的解剖、SGB适应证及禁忌症、阻滞方法、药物选择及疗程、疗效评价、并发症及注意事项等方面来介绍此项技术,供指导临床应用。
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abstractsStellate ganglion block (SGB) has been widely used in clinical treatment for various pain and non-pain, including the pain of head and face, ear, nose and throat, oral, neck and shoulder, and upper limb. Additionally, SGB has shown a curative effect on refractory angina pectoris, arrhythmia, and depression. Previously, the SGB procedure had been primarily dependent on the anatomical landmark. However, with the popularization and adopted application of ultrasound in pain, the ultrasound-guided SGB has gradually become the mainstream. This consensus summary reflects the clinical experience of several experts. The topics range from introducing the stellate ganglion anatomy to the indications and contraindications of SGB, blocking methods, drug selection, treatment course, efficacy evaluation, complications and precautions. Overall, the consensus hopes to provide clinical guidance for SGB.
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