星状神经节阻滞对心肌保护的研究进展及现状
Research Progress and Current Status of My-ocardial Protection by Stellate Ganglion Block
DOI: 10.12677/ACM.2023.13112412, PDF,    科研立项经费支持
作者: 王国操:济宁医学院临床学院,山东 济宁;济宁医学院附属医院麻醉科,山东 济宁;田海涛*:济宁医学院临床学院,山东 济宁;济宁市第一人民医院麻醉科,山东 济宁
关键词: 心肌保护星状神经节阻滞Myocardial Protection Stellate Ganglion Block
摘要: 星状神经节阻滞(Stellate ganglion block, SGB)是一种具有治疗性的神经阻滞,主要用于缓解一些局部或颈部疼痛等症状。过去几年,越来越多的数据表明SGB还具有脏器保护作用,并在心脏、肺脏、微循环等方面有积极影响。目前有关研究SGB保护心肌的研究相对较少,并且研究结果不同。目前认为不同侧SGB对心血管系统作用存在影响差别,这可能与解剖结构存在一定差异及节后神经纤维支配区域存在差异有关,但是还需要进一步研究和探究其作用机制。
Abstract: Stellate ganglion block (SGB) is a therapeutic nerve block used to relieve some symptoms such as local or neck pain. Over the past few years, more and more data have shown that SGB also has an organ protective effect and has a positive impact on the heart, lungs, microcirculation, and more. At present, there are relatively few studies on the protection of myocardium by SGB, and the research results are different. At present, it is believed that different sides of SGB have different effects on the cardiovascular system, which may be related to differences in anatomical structure and differ-ences in postganglionic nerve fiber innervation region, but further research and exploration of its mechanism are needed.
文章引用:王国操, 田海涛. 星状神经节阻滞对心肌保护的研究进展及现状[J]. 临床医学进展, 2023, 13(11): 17203-17209. https://doi.org/10.12677/ACM.2023.13112412

参考文献

[1] Ardehali, A. and Ports, T.A. (1990) Myocardial Oxygen Supply and Demand. Chest, 98, 699-705. [Google Scholar] [CrossRef] [PubMed]
[2] Flu, W.J., Schouten, O., van Kuijk, J.P., et al. (2010) Perioperative Cardiac Damage Invascular Surgery Patients. European Journal of Vascular and Endovascular Surgery, 40, 1-8. [Google Scholar] [CrossRef] [PubMed]
[3] Sessler, D.I. and Khanna, A.K. (2018) Perioperative Myocardial Injury and the Contribution of Hypotension. Intensive Care Medicine, 44, 811-822. [Google Scholar] [CrossRef] [PubMed]
[4] 黄倩, 张炳东, 王玲. 右侧星状神经阻滞对大鼠体外循环微循环的影响[J]. 中国临床新医学, 2014, 7(5): 390-393.
[5] 王薇, 王焰斌, 石双平, 等. 超声引导下星状神经节阻滞对心脏瓣膜置换术患者的心肌保护作用[J]. 山西医药杂志, 2018, 47(22): 2682-2685.
[6] Narouze, S. (2014) Ultrasound-Guided Stellate Ganglion Block: Safety and Efficacy. Current Pain and Headache Reports, 18, Article No. 424. [Google Scholar] [CrossRef] [PubMed]
[7] Aggarwal, A., Suresh, V., Gupta, B. and Sonthalia, S. (2020) Post-Herpetic Neuralgia: A Systematic Review of Current Interventional Pain Management Strategies. Journal of Cuta-neous and Aesthetic Surgery, 13, 265-274.
[8] Goel, V., Patwardhan, A.M., Ibrahim, M., Howe, C.L., Schultz, D.M. and Shankar, H. (2019) Complications Associated with Stellate Ganglion Nerve Block: A Systematic Review. Regional Anesthesia & Pain Medicine, 42, 741-750.
[9] El-Shmaa, N.S. (2020) Evaluation of King’s Vision Videolaryngoscope and Glidescope on Hemodynamic Stress Response to Laryngoscopy and Endotracheal Intubation. Journal of Anaesthesi-ology Clinical Pharmacology, 36, 233-237. [Google Scholar] [CrossRef
[10] Zhuang, X.L., Zeng, Y.M. and Chen, B.L. (2003) Chapter 5. Modern Anesthesiology. In: Anesthesiology and Circulation, 3rd Edition, People’s Medical Publishing House, Beijing, 481.
[11] Russell, D.W., Casey, J.D., Gibbs, K.W., et al. (2022) Effect of Fluid Bolus Administration on Cardiovascular Collapse among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial. JAMA, 328, 270-279. [Google Scholar] [CrossRef] [PubMed]
[12] Singh, S., Laing, E.F., Owiredu, W.K. and Singh, A. (2013) Comparison of Esmolol and Lidocaine for Attenuation of Cardiovascular Stress Response to Laryngoscopy and Endotracheal Intubation in a Ghanaian Population. Anesthesia Essays and Re-searches, 7, 83-88. [Google Scholar] [CrossRef] [PubMed]
[13] El-Shmaa, N.S. and El-Baradey, G.F. (2016) The Efficacy of Labetalol vs Dexmedetomidine for Attenuation of Hemodynamic Stress Response to Laryngoscopy and Endotracheal Intubation. Journal of Clinical Anesthesia, 31, 267-273. [Google Scholar] [CrossRef] [PubMed]
[14] Koyama, S., Sato, N., Nagashima, K., et al. (2002) Effects of Right Stellate Ganglion Block on the Autonomic Nervous Function of the Heart: A Study Using the Head-Up Tilt Test. Circulation Journal, 66, 645-648. [Google Scholar] [CrossRef] [PubMed]
[15] Hiroshi, I., Syoraku, S. and Kazuhiro, W. (2002) The Role of Cervical Sympathetic Nervous System in Secretions of Stress or Pineal Hormone A Hypothesis. The Pain Clinic, 13, 233-244. [Google Scholar] [CrossRef
[16] Chen, Y.Q., Jin, X.J., Liu, Z.F., et al. (2015) Effects of Stellate Ganglion Block on Cardiovascular Reaction and Heart Rate Variability in Elderly Patients during Anesthesia Induction and Endotracheal Intubation. Journal of Clinical Anesthesia, 27, 140-145. [Google Scholar] [CrossRef] [PubMed]
[17] Gayathri, L., Kuppusamy, A., Mirunalini, G. and Mani, K. (2023) A Comparison between the Effects of Single-Dose Oral Gabapentin and Oral Clonidine on Hemodynamic Param-eters in Laparoscopic Surgeries: A Randomized Controlled Trial. Cureus, 15, e37251. [Google Scholar] [CrossRef] [PubMed]
[18] Mutetwa, E.N., Shumbairerwa, S., Crawford, A., et al. (2015) Metabolic Effects of Carbon Dioxide (CO2) Insufflation during Laparoscopic Surgery: Changes in pH, Arterial Partial Pressure of Carbon Dioxide (PaCo2) and End Tidal Carbon Dioxide (EtCO2). Central African Journal of Medicine, 61, 61-65.
[19] Richman, J.M., Liu, S.S., Courpas, G., et al. (2006) Does Continuous Peripheral Nerve Block Provide Su-perior Pain Control to Opioids A Meta-Analysis. Anesthesia & Analgesia, 102: 248-257. [Google Scholar] [CrossRef
[20] Ram, C.V. (2010) Beta-Blockers in Hypertension. American Journal of Cardiology, 106, 1819-1825. [Google Scholar] [CrossRef] [PubMed]
[21] 张亚莉. 星状神经节阻滞对腹腔镜胆囊切除术患者血流动力学、神经内分泌功能的影响[J]. 临床医学, 2021, 41(5): 80-82. [Google Scholar] [CrossRef
[22] Chen, Y.Q., Xie, Y.Y., Wang, B. and Jin, X.J. (2017) Effect of Stellate Ganglion Block on Hemodynamics and Stress Responses during CO2-Pneumoperitoneum in Elderly Patients. Journal of Clinical Anesthesia, 37, 149-153. [Google Scholar] [CrossRef] [PubMed]
[23] 侯霄雷, 李白翎, 赵雷, 等. 血府逐瘀胶囊对急性心肌梗死再灌注后心肌及内皮素-1、一氧化氮/一氧化氮合酶体系影响的实验研究[J]. 中西医结合学报, 2008, 6(4): 381-386.
[24] 陈永权, 胡光祥, 付群, 等. 星状神经节阻滞对自发性高血压大鼠血压的影响[J]. 浙江大学学报医学版, 2012, 41(1): 65-68.
[25] 谢雨逸孜, 陈永权. 右侧星状神经节阻滞对CO2气腹患者心率变异性的影响[J]. 中华麻醉学杂志, 2012(7): 833-835.
[26] 童金亮. 星状神经节阻滞对腹腔镜胆囊切除术中人工气腹患者应激反应的影响[J]. 国际医药卫生导报, 2017, 23(23): 3714-3716.
[27] He, G.W. and Taggart, D.P. (2016) Antispastic Management in Arterial Grafts in Coronary Artery Bypass Grafting Surgery. The Annals of Thoracic Surgery, 102, 659-668. [Google Scholar] [CrossRef] [PubMed]
[28] Hamilton, G.W., Dinh, D., Yeoh, J., et al. (2023) Characteristics of Radial Artery Coronary Bypass Graft Failure and Outcomes Following Subsequent Percutaneous Coronary Intervention. JACC: Cardiovascular Interventions, 16, 457-467. [Google Scholar] [CrossRef] [PubMed]
[29] Feigin, G., Velasco Figueroa, S., Englesakis, M.F., D’Souza, R., Hoydonckx, Y. and Bhatia, A. (2023) Stellate Ganglion Block for Non-Pain Indications: A Scoping Review. Pain Medi-cine, 24, 775-781. [Google Scholar] [CrossRef] [PubMed]
[30] Yildirim, V., Akay, H.T., Bingol, H., et al. (2007) Pre-Emptive Stellate Ganglion Block Increases the Patency of Radial Artery Grafts in Coronary Artery Bypass Surgery. Acta Anaesthesiolog-ica Scandinavica, 51, 434-440. [Google Scholar] [CrossRef] [PubMed]
[31] Garneau, S.Y., Deschamps, A., Couture, P., et al. (2011) Preliminary Experience in the Use of Preoperative Echo-Guided Left Stellate Ganglion Block in Patients Undergoing Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia, 25, 78-84. [Google Scholar] [CrossRef] [PubMed]
[32] Hu, X.Q., Zheng, X.Y., Ma, W.X. and Jiang, X. (2020) Efficacy of Stellate Ganglion Block in Perioperative Period of Patients with Chronic Sinusitis and Hypertension. Chinese Medical Journal, 100, 2591-2595. (In Chinese)
[33] LaPar, D.J., Speir, A.M., Crosby, I.K., et al. (2014) Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs. The Annals of Thoracic Surgery, 98, 527-533. [Google Scholar] [CrossRef] [PubMed]
[34] Engin, M., Ozsin, K.K., Savran, M., Guvenc, O., Yavuz, S. and Ozyazicioglu, A.F. (2021) Visceral Adiposity Index and Prognostic Nutritional Index in Predicting Atrial Fibrillation after On-Pump Coronary Artery Bypass Operations: A Prospective Study. Brazilian Journal of Cardiovascular Surgery, 36, 522-529. [Google Scholar] [CrossRef] [PubMed]
[35] Yang, H., Yuan, C., Yang, J., Xiang, H., Lan, W. and Tang, Y. (2022) A Novel Predictive Model for New-Onset Atrial Fibrillation in Patients after Isolated Cardiac Valve Surgery. Frontiers in Cardiovascular Medicine, 9, Article ID: 949259. [Google Scholar] [CrossRef] [PubMed]
[36] Gong, J., Wei, Y., Zhang, Q., Tang, J. and Chang, Q. (2022) Nomogram Predicts Atrial Fibrillation after Coronary Artery Bypass Grafting. BMC Cardiovascular Disorders, 22, Ar-ticle No. 388. [Google Scholar] [CrossRef] [PubMed]
[37] Hernández-Leiva, E., Alvarado, P. and Dennis, R.J. (2019) Postoperative Atrial Fibrillation: Evaluation of Its Economic Impact on the Costs of Cardiac Surgery. Brazilian Journal of Cardiovascular Surgery, 34, 179-186. [Google Scholar] [CrossRef] [PubMed]
[38] Muehlschlegel, J.D., Burrage, P.S., Ngai, J.Y., et al. (2019) Society of Cardiovascular Anesthesiologists/European Association of Cardiothoracic Anaesthetists Practice Advisory for the Management of Perioperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery. Anesthesia & Analgesia, 128, 33-42. [Google Scholar] [CrossRef
[39] Al-Atassi, T., Toeg, H., Malas, T., et al. (2014) Mapping and Ablation of Autonomic Ganglia in Prevention of Postoperative Atrial Fibrillation in Coronary Surgery: MAAPPAFS Atrial Fibrillation Randomized Controlled Pilot Study. Canadian Journal of Cardiology, 30, 1202-1207. [Google Scholar] [CrossRef] [PubMed]
[40] Zafeiropoulos, S., Doundoulakis, I., Farmakis, I.T., et al. (2022) Autonomic Neuromodulation for Atrial Fibrillation Following Cardiac Surgery: JACC Review Topic of the Week. Jour-nal of the American College of Cardiology, 79, 682-694. [Google Scholar] [CrossRef] [PubMed]
[41] Hanna, P., Buch, E., Stavrakis, S., et al. (2021) Neuroscientific Therapies for Atrial Fibrillation. Cardiovascular Research, 117, 1732-1745. [Google Scholar] [CrossRef] [PubMed]
[42] Connors, C.W., Craig, W.Y., Buchanan, S.A., et al. (2018) Efficacy and Efficiency of Perioperative Stellate Ganglion Blocks in Cardiac Surgery: A Pilot Study. Journal of Cardio-thoracic and Vascular Anesthesia, 32, e28-e30. [Google Scholar] [CrossRef] [PubMed]
[43] Zheng, H., Xue, S., Hu, Z.L., Shan, J.G. and Yang, W.G. (2014) The Use of Statins to Prevent Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting: A Meta-Analysis of 12 Studies. Journal of Cardiovascular Pharmacology, 64, 285-292. [Google Scholar] [CrossRef
[44] Leftheriotis, D., Flevari, P., Kossyvakis, C., et al. (2016) Acute Effects of Unilateral Temporary Stellate Ganglion Block on Human Atrial Electrophysiological Properties and Atrial Fibrillation Inducibility. Heart Rhythm, 13, 2111-2117. [Google Scholar] [CrossRef] [PubMed]
[45] Ouyang, R., Li, X., Wang, R., Zhou, Q., Sun, Y. and Lei, E. (2020) Efeito do bloqueio do gânglio estrelado direito guiado por ultrassom na fibrilação atrial perioperatória em pacientes submetidos a lobectomia pulmonar: Estudo controlado randomizado [Effect of Ultrasound-Guided Right Stellate Gangli-on Block on Perioperative Atrial Fibrillation in Patients Undergoing Lung Lobectomy: A Randomized Controlled Trial]. Brazilian Journal of Anesthesiology, 70, 256-261. [Google Scholar] [CrossRef] [PubMed]
[46] Jentzer, J.C., Noseworthy, P.A., Kashou, A.H., et al. (2023) Multidisciplinary Critical Care Management of Electrical Storm: JACC State-of-the-Art Review. Journal of the American College of Cardiology, 81, 2189-2206. [Google Scholar] [CrossRef] [PubMed]
[47] Fudim, M., Boortz-Marx, R., Ganesh, A., et al. (2017) Stellate Ganglion Blockade for the Treatment of Refractory Ventricular Arrhythmias: A Systematic Review and Meta-Analysis. Journal of Cardiovascular Electrophysiology, 28, 1460-1467. [Google Scholar] [CrossRef] [PubMed]
[48] Vaseghi, M., Gima, J., Kanaan, C., et al. (2014) Cardiac Sympathetic Denervation in Patients with Refractory Ventricular Arrhythmias or Electrical Storm: Intermediate and Long-Term Follow-Up. Heart Rhythm, 11, 360-366. [Google Scholar] [CrossRef] [PubMed]
[49] Savastano, S., Dusi, V., Baldi, E., et al. (2021) Anatomical-Based Percutaneous Left Stellate Ganglion Block in Patients with Drug-Refractory Electrical Storm and Structural Heart Disease: A Single-Centre Case Series. Europace, 23, 581-586. [Google Scholar] [CrossRef] [PubMed]
[50] Reinertsen, E., Sabayon, M., Riso, M., Lloyd, M. and Spektor, B. (2021) Stellate Ganglion Blockade for Treating Refractory Electrical Storm: A Historical Cohort Study. Canadian Journal of Anesthesia, 68, 1683-1689. [Google Scholar] [CrossRef] [PubMed]
[51] Patel, R.A., Condrey, J.M., George, R.M., Wolf, B.J. and Wil-son, S.H. (2023) Stellate Ganglion Block Catheters for Refractory Electrical Storm: A Retrospective Cohort and Care Pathway. Regional Anesthesia & Pain Medicine, 48, 224-228. [Google Scholar] [CrossRef] [PubMed]
[52] Savastano, S., Baldi, E., Camporotondo, R., Belliato, M., Marinoni, B. and De Ferrari, G.M. (2020) Percutaneous Stellate Ganglion Block and Extracorporeal Cardiopulmonary Resuscitation: An Effective and Safe Combination for Refractory Ventricular Fibrillation. Europace, 22, 148. [Google Scholar] [CrossRef] [PubMed]