The stellate ganglion(SG),as a type of sympathetic ganglion,consists of the sixth and seventh cervical vertebrae and the first thoracic sympathetic ganglia.SG block(SGB)is a minimally invasive injection that aims to i...The stellate ganglion(SG),as a type of sympathetic ganglion,consists of the sixth and seventh cervical vertebrae and the first thoracic sympathetic ganglia.SG block(SGB)is a minimally invasive injection that aims to inject low-concentration local anesthetics to induce a broad sympathetic blocking effect near the SG.There have been no changes and progress in the clinical application of SGB since the 1830s due to several potential risks,including hematoma from blood vessel injury,hoarseness from recurrent laryngeal nerve injury,and cardiopulmonary arrest.The feasibility and safety of SGB have greatly improved since the appearance of ultrasound-guided SGB.In recent years,SGB has been widely applied in the field of non-anesthesiology sedation,with significant therapeutic effects on pain,immunological diseases,somnipathy,psychological disorders,arrhythmias,and endocrine diseases.The present study reviews the present application of SGB in clinical practice.展开更多
Objective To compare therapeutic effect of auricular point sticking therapy and western medication on insomnia in the middle-aged patients. Methods Sixty-three middle-aged patients of insomnia were randomly divided in...Objective To compare therapeutic effect of auricular point sticking therapy and western medication on insomnia in the middle-aged patients. Methods Sixty-three middle-aged patients of insomnia were randomly divided into an auricular point sticking group（n=32） and a Diazepam group（n=31）. In the auricular point sticking group, auricular point sticking was given at auricular points Gan（liver）, Pi（spleen）, Shenmen on one side; and in the Diazepam group, 2.5 mg Diazepam was orally administrated, once each day. The clinical therapeutic effects, Pittsburgh Sleep Quality Index （PSQI） and the Athens Insomnia Scale （AIS） scores were compared before and after treatment in the two groups. Results After treatment for 4 weeks, the total effective rate of 90.6%（29/32） in the auricular point sticking group was better than 61.3%（19/31） in the Diazepam group （P0.01）; the scores of all items in PSQI in the auricular point sticking group, and the sleep quality, sleep time and the total score in the Diazepam group were significantly decreased （all P0.01）; the auricular point sticking group in improvement of sleep quality, falling asleep time, sleep efficacy, somnipathy, hypnotic use, daytime dysfunction and the total score in PSQI, and early awaking, total sleep time, daytime emotion, daytime state, daytime sleepy in AIS was superior to the Diazepam group （P0.05, P0.01）. Conclusion Auricular point sticking therapy has a good therapeutic effect on insomnia which is better than oral Diazepam.展开更多
文摘The stellate ganglion(SG),as a type of sympathetic ganglion,consists of the sixth and seventh cervical vertebrae and the first thoracic sympathetic ganglia.SG block(SGB)is a minimally invasive injection that aims to inject low-concentration local anesthetics to induce a broad sympathetic blocking effect near the SG.There have been no changes and progress in the clinical application of SGB since the 1830s due to several potential risks,including hematoma from blood vessel injury,hoarseness from recurrent laryngeal nerve injury,and cardiopulmonary arrest.The feasibility and safety of SGB have greatly improved since the appearance of ultrasound-guided SGB.In recent years,SGB has been widely applied in the field of non-anesthesiology sedation,with significant therapeutic effects on pain,immunological diseases,somnipathy,psychological disorders,arrhythmias,and endocrine diseases.The present study reviews the present application of SGB in clinical practice.
文摘Objective To compare therapeutic effect of auricular point sticking therapy and western medication on insomnia in the middle-aged patients. Methods Sixty-three middle-aged patients of insomnia were randomly divided into an auricular point sticking group（n=32） and a Diazepam group（n=31）. In the auricular point sticking group, auricular point sticking was given at auricular points Gan（liver）, Pi（spleen）, Shenmen on one side; and in the Diazepam group, 2.5 mg Diazepam was orally administrated, once each day. The clinical therapeutic effects, Pittsburgh Sleep Quality Index （PSQI） and the Athens Insomnia Scale （AIS） scores were compared before and after treatment in the two groups. Results After treatment for 4 weeks, the total effective rate of 90.6%（29/32） in the auricular point sticking group was better than 61.3%（19/31） in the Diazepam group （P0.01）; the scores of all items in PSQI in the auricular point sticking group, and the sleep quality, sleep time and the total score in the Diazepam group were significantly decreased （all P0.01）; the auricular point sticking group in improvement of sleep quality, falling asleep time, sleep efficacy, somnipathy, hypnotic use, daytime dysfunction and the total score in PSQI, and early awaking, total sleep time, daytime emotion, daytime state, daytime sleepy in AIS was superior to the Diazepam group （P0.05, P0.01）. Conclusion Auricular point sticking therapy has a good therapeutic effect on insomnia which is better than oral Diazepam.
