Research progress on stellate ganglion block improving postoperative cognitive dysfunction

VernacularTitle:星状神经节阻滞改善术后认知功能障碍研究进展
Author: Ruyue XUE ¹ ; Yuexian LI ; Defeng SUN
Author Information

1. 大连医科大学附属第一医院麻醉科(辽宁大连 116011)
Keywords: stellate ganglion block; postoperative cognitive dysfunction; oxidative stress; inflamma-tory
From: The Journal of Practical Medicine 2024;40(11):1500-1504
CountryChina
Language:Chinese
Abstract: Postoperative cognitive dysfunction(POCD)is a common complication affecting elderly patients after anaesthesia.It is characterised by acute or persistent impairments of attention,learning and memory after surgery.This cognitive disorder can lead not only to an increase in postoperative complications and prolonged hospi-tal stays,but also to an increased societal burden and waste of medical resources.Stellate ganglion block(SGB)is a commonly used nerve block technique in clinical practice.It works to block neural signals from stellate ganglion to control pain or treat certain conditions primarily by injecting local anaesthetics.This article summarises the mechanisms by which SGB improves POCD,focusing on the regulation of cerebral vasculature,oxidative stress and inflammatory responses.It aims to provide elderly patients with an approach to safer and more effective postop-erative recovery and seek new therapies to alleviate the burden of POCD.