Quantification of the effectiveness of the stellate ganglion block using fMRI

使用功能磁共振成像量化星状神经节阻滞的有效性

• 批准号: 23792402
• 负责人: NOGAMI Kentaro
• 金额: $ 2.91万
• 依托单位: Fukuoka Dental College
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2013
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23792402/
• 关键词: 歯科麻酔学; 星状神経節ブロック; fMRI; 顎変形症; 術後知覚異常; 歯学; 脳・神経

We evaluated the effectiveness of the stellate ganglion blockade(SGB) compared with xenon light irradiations(XLI) with neurosensory deficit after orthognathic surgery using current perception threshold(CPT) and Ranged current perception thresholds(RCPT).Because the consent was not taken by the patients, we could not take the fMRI.CPT and RCPT thresholds in the mental area of 98 sides were measured at stimulation frequency assessing 3 different nerve fiber types before surgery, 1 week after surgery and after treatments of 10 times by SGB(29 sides) and XLI(69 sides). These CPT and RCPT values were compared and were evaluated by surgery factor .The amounts of change of all CPT and RCPT values of the SGB group were significantly decreased than XLI group's after treatment. There was no correlation between CPT and RCPT values and surgery factors.It is concluded that stellate ganglion blockade might be an effective method for treatment of neurosensory deficits after the orthognatic surgery.

我们用电流感觉阈值（CPT）和距离电流感觉阈值（RCPT）评价了星状神经节阻滞（SGB）与氙灯照射（XLI）对正颌外科术后神经感觉障碍的有效性。在刺激频率下，对98侧颏区3种不同神经纤维进行CPT和RCPT阈值测定术前、术后1周、SGB（29侧）和XLI（69侧）治疗10次后的分型。比较各组CPT和RCPT值，并以手术因素进行评价，SGB组治疗后各项CPT和RCPT值的变化量均明显低于XLI组。CPT和RCPT值与手术因素无相关性，星状神经节阻滞可能是治疗正颌手术后感觉神经功能缺损的有效方法。

项目成果

電流知覚閾値を用いた顎変形症手術後の知覚麻痺に対する星状神経節ブロックとキセノン光照射の治療効果の比較

当前知觉阈值下星状神经节阻滞与氙灯照射治疗颌畸形术后感觉麻痹的疗效比较

• 发表时间: 2013
• 期刊: 日本歯科麻酔学会雑誌
• 作者: 野上堅太郎;砥上京子;今村美奈子;松尾勇弥;谷口省吾
• 通讯作者: 谷口省吾