CAJ | 학술논문

目的：比较疼痛门诊超声引导下穿刺和盲穿星状神经节阻滞（SGB）的效果，评价其可行性。方法40例疼痛门诊患者随机均分为超声组和盲穿组行 SGB，记录两组患者霍纳综合征发生的次数、各种不良反应的发生次数、穿刺不适感次数、及原发疾病有效例数。结果超声组霍纳综合征发生率、原发疾病有效率高于盲穿组，操作相关不良反应发生率及操作不适感明显低于盲穿组（ P <0.05）。结论疼痛门诊行 SGB，超声引导下操作成功率高，不良反应发生率低，对原发疾病治疗效果好，具有临床应用的可行性。
목적：비교동통문진초성인도하천자화맹천성상신경절조체（SGB）적효과，평개기가행성。방법40례동통문진환자수궤균분위초성조화맹천조행 SGB，기록량조환자곽납종합정발생적차수、각충불량반응적발생차수、천자불괄감차수、급원발질병유효례수。결과초성조곽납종합정발생솔、원발질병유효솔고우맹천조，조작상관불량반응발생솔급조작불괄감명현저우맹천조（ P <0.05）。결론동통문진행 SGB，초성인도하조작성공솔고，불량반응발생솔저，대원발질병치료효과호，구유림상응용적가행성。
Objective To compare effects and feasibility of ultrasound - guided puncture and blind puncture of stellate ganglion block(SGB)in paln clinic. Methods 40 patients were randomly divided into ultrasound group and blind group for SGB. Number of Hornerˊs syndrome,time of various adverse reactions and discomforts,and effective number of primary disease were recorded. Results Incidence of Hornerˊs syndrome and effective rate of primary dis-ease were higher in ultrasound group than those in blind group;Incidence of related adverse reaction and discomforts were significantly lower than those in blind group(P < 0. 05). Conclusion Success rate of ultrasound - guided SGB is high with low incidence of adverse reactions in paln clinic,which is better for the treatment of primary disease and feasible for clinical application.