Effect Of Stellate Ganglion Block On Cervicogenic Vertigo Under Ultrasonic Guidance

Cervical vertigo is a kind of twist disease resulted from the anoxemia of brain and thereduction of basilar artery effective blood flow, which were the resultes of cervical uertebradegeneration, hyperostosis and waywardness caused by vertebral artery operssion orsympathetic nerve excitation. The common therpeutic method in clinic is changing the bloodflow of basilar artery, or decreasing the complication of dizzy to improve the illness. Forexample, drugs of expanding blood vessel were injected by vessel (iv) combined withnaturopathy, magnetic shook heat, traction. Stellate ganglion block (SGB) were generallyused in clinc as a pain management method treating gangliated nerve dependent pain andvesselly pain, stenocardia, and vasospansm,et al. SGB with ultrasonic guidance were reportedin1995by Karpal, which were more safty and more accuracy than the traditonal SGB, andthe complication and adverse reaction after SGB were also siganificantly decreased.It was reported that SGB is effective for treating the Cervical vertigo, but few reseachwere found on the curing effect of SGB with ultrasonic guidance in Cervical vertigo. So weplaned to explore the effectivness of SGB with ultrasonic guidance and ropovacaine in orderto provide more related new proof during the clinical therapy.Obejective: Because few reseach were found on the curing effect of SGB with ultrasonicguidance in the clinical therapy of Cervical vertigo and to provide more related new proofduring the treating, we planed to explore the curing effectivness of SGB with ultrasonicguidance and ropovacaine.Methods: Sixty Patients of Cervical vertigo were divided into two groups：the routineinfusion group and SGB with ultrasonic guidance and ropovacaine and routine infusion group.Therapy were administrated once a day, SGB were done by left and right altenatively,treatment cycle were4-14days, related clinical testing were done and recorded after the twoweeks of the last treating to compare the differences.Results: All patients were radomly divided into the routine infusion group and SGB withultrasonic guidance and ropovacaine and routine infusion group. The results demostrated that:The total effective rate is73.3%in the routine infusion group,14cases were cured,4casesexcellent,4cases improving,8cases invaild. The total effective rate is96.7%in SGB withultrasonic guidance and ropovacaine and routine infusion group,19cases were cured,6casesexcellent,4cases improving,1cases invaild. Significant differrence were found between the two groups(P<0.01).It was detected by the dopler mulitfuctional that the changing of internal carotid arteryflow index in the patients of the two groups, no significant difference was found(p>0.05).All the PS, ED, D, and FV of the verterbal artery were increased, which were detected bythe dopler mulitfuctional in the patients of the two groups (P<0.01or P<0.05).Conclusion:1There were no effect on blood flow of cervical vertigo patients treated by SGB withultrasonic guidance and ropovacaine, which is safe and reliable.2The totla effective rate curing cervical vertigo is96%by SGB with ultrasonic guidanceand ropovacaine, with the remarkable amelioration of the flow index of verterbal artery andinternal carotid artery.