摘要
目的观察在超声引导定位下行星状神经节置管保留间断阻滞对治疗突发性耳聋的效果。方法选择突发性单耳聋患者56例,按随机数字表法分为超声组、盲探组各28例,均按诊疗规范给予活血、激素药物和高压氧等综合疗法,超声组采用超声引导定位下行星状神经节穿刺置管保留,0.1%罗哌卡因阻滞1次/d;盲探组传统星状神经节穿刺阻滞。观察2组治疗总有效率、首次穿刺阻滞成功率、平均阻滞时间、首次阻滞成功率、患者满意度、并发症发生率等情况,评价效果及安全性。结果2组总有效率比较差异无统计学意义[89%(25/28),79%(22/28),P>0.05];首次穿刺成功率比较超声组明显优于盲探组[100%(28/28),73%(20/28),P<0.05];平均阻滞时间和首次阻滞成功率比较明显超声组优于盲探组[(4.0±1.3)min和(6.3±2.1)min;100%(28/28)和79%(22/28),P<0.05];超声组患者满意率明显高于盲探组[89%(25/28),61%(17/28),P<0.05];盲探组发生5例皮下气肿等不良反应,超声组未发生相关事件,也未发现脱管、药物等不良事件。结论在超声引导定位下行星状神经节置管阻滞,比传统盲探穿刺成功率及有效率更好,置管保留减少患者痛苦,患者满意度得到提高,不良反应少。
Objective To explore the effect of stellate ganglion catheter retention block under ultrasound-guided localization in the treatment of sudden deafness.Methods Fifty-six patients with sudden single deafness were selected and divided into ultrasound group and blind exploration group according to random number table.They were given comprehensive therapy of promoting blood circulation,hormone drugs and hyperbaric oxygen according to the diagnostic and therapeutic criteria.In ultrasound group,stellate ganglion puncture and catheterization were retained under the guidance of ultrasound,and 0.1%ropivacaine was used for blocking once a day in blind exploration group.The total effective rate,the success rate of the first puncture block,the average block time,the success rate of the first puncture block,the satisfaction rate of patients and the incidence of complications were observed,and the effect and safety were evaluated.Results There was no significant difference in the total effective rate between the two groups[89%(25/28)to 79%(22/28),P>0.05];the success rate of first catheterization in the ultrasound group was significantly better than that in the blind group[100%(28/28),73%(20/28),P<0.05];the average block time and the success rate of first block in the ultrasound group were significantly better than that in the blind group[(4.0±1.3)min,(6.3±2.1)min;100%(28/28)to 79%(22/28),P<0.05];The satisfaction rate of patients was significantly higher than that of blind exploration group[89%(25/28)to 61%(17/28),P<0.05].There were 5 cases of adverse reactions such as subcutaneous emphysema in blind exploration group,and no related events occurred in ultrasound group,and no adverse events such as detubation and drugs were found.Conclusion Stellate ganglion catheterization block guided by ultrasound has higher success rate and efficiency than traditional blind puncture.Catheterization retention reduces patients′pain,improves patients′satisfaction and has fewer adverse reactions.
作者
高辉
张志卓
张志革
Gao Hui;Zhang Zhizhuo;Zhang Zhige(Department of Emergency,Xingtai People′s Hospital,Hebei 054001,China;不详)
出处
《山西医药杂志》
CAS
2020年第19期2560-2562,共3页
Shanxi Medical Journal
基金
河北省邢台市科技支撑计划项目(2011ZC136)。
关键词
超声检查
耳聋
星状神经节阻滞
置管保留
Ultrasonic
Deafness,sudden
Stellate ganglion block
Catheter retention
