单侧星状神经节阻滞对冠脉搭桥患者围术期心血管反应的影响(2)
同硬膜外阻滞相比较，SGB操作更简单，费用低廉，指标明确，并发症少，单侧星状神经节阻滞能够减轻冠脉搭桥患者围术期心血管反应，使患者在手术过程中血流动力学相对稳定，对患者尤其对其心脏具有保护作用，可使患者更加平稳地渡过围术期。
[参考文献]
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[2]Khansari DN,Murgo AJ，Faith RE,et al.Effects of stress on the immune system[M].Immundogy Today,1990.11:170.
[3]冯新为.病理生理学[M].北京：人民卫生出版社,1995.5:170-177.
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[5]Kehlet H.Surgical stress:the roll of pain and analgesia[J].Br J Anaesth,1989,63:189.
[6]Desborough JP,Hall GM.Clin Anaesthesiol,1989,3:317-334.
[7]Breslow MJ.The role of stress hormones in perioperative myocardial ischemia[J].Int Anesthesiol Clin,1992,30:81-92.
[8]Kiron K,Friberg P,Grzegorcjyk A,et al.Thoracic epidural anesthesia during coronary artery bypass surgery:effects on cardiac sympathepic activity,myocardial blood flow and metabolism,and central hernodynnarnics[J].Anesth Analg,1994,79:1075-1081.
[9]Licker M,Farinelli C,Kopfenstein CE.Cardiovascular reflexes during anesthesia induction and tracheal intubation in elderly patients:The influence of thoracic epidural anesthesia[J].J Clin Anesth,1995,7:281-287.
[10]Horlocker TT, Wedel DJ. Spinal and epidural blockade andperioperative low molecular heparin:smooth sailing on the Titanium[M].Anesth Analg,1998.86:1153.
[11]赵素真,等.星状神经节阻滞与气管插管应激反应[J].中华麻学杂志,2001,9,21(9):564-565.
[12]陈灏珠.内科学[M].北京：人民卫生出版社,1996.9:248.
[13]Rogers MR,Battit G,Mcpeek B,et al.Lateralization of sympathetic control of the human sinus node:ECG changes of stellate ganglion block[J].Anesthesiology,1978,48:139-142.
[14]李仲廉.临床疼痛治疗学(修订版)[M].天津：天津科学出版社，2000.333.
(收稿日期：2007-05-01)
[ 上 页 ], http://www.100md.com(车洪彬 裴 凌 颜红军)
[参考文献]
[1]刘小立.星状神经节阻滞[M].太原：山西科学技术出版社，1994.1.
[2]Khansari DN,Murgo AJ，Faith RE,et al.Effects of stress on the immune system[M].Immundogy Today,1990.11:170.
[3]冯新为.病理生理学[M].北京：人民卫生出版社,1995.5:170-177.
[4]Reves JG,Karp RB,Battner EE,et al.Neuronal and adrenomedullary catecholamine release in response to cardiopulmonary bypass in man[J].Circulation,1982,66:49.
[5]Kehlet H.Surgical stress:the roll of pain and analgesia[J].Br J Anaesth,1989,63:189.
[6]Desborough JP,Hall GM.Clin Anaesthesiol,1989,3:317-334.
[7]Breslow MJ.The role of stress hormones in perioperative myocardial ischemia[J].Int Anesthesiol Clin,1992,30:81-92.
[8]Kiron K,Friberg P,Grzegorcjyk A,et al.Thoracic epidural anesthesia during coronary artery bypass surgery:effects on cardiac sympathepic activity,myocardial blood flow and metabolism,and central hernodynnarnics[J].Anesth Analg,1994,79:1075-1081.
[9]Licker M,Farinelli C,Kopfenstein CE.Cardiovascular reflexes during anesthesia induction and tracheal intubation in elderly patients:The influence of thoracic epidural anesthesia[J].J Clin Anesth,1995,7:281-287.
[10]Horlocker TT, Wedel DJ. Spinal and epidural blockade andperioperative low molecular heparin:smooth sailing on the Titanium[M].Anesth Analg,1998.86:1153.
[11]赵素真,等.星状神经节阻滞与气管插管应激反应[J].中华麻学杂志,2001,9,21(9):564-565.
[12]陈灏珠.内科学[M].北京：人民卫生出版社,1996.9:248.
[13]Rogers MR,Battit G,Mcpeek B,et al.Lateralization of sympathetic control of the human sinus node:ECG changes of stellate ganglion block[J].Anesthesiology,1978,48:139-142.
[14]李仲廉.临床疼痛治疗学(修订版)[M].天津：天津科学出版社，2000.333.
(收稿日期：2007-05-01)
[ 上 页 ], http://www.100md.com(车洪彬 裴 凌 颜红军)