国际麻醉学与复苏杂志   2020, Issue (12): 6-6
    
超声引导区域麻醉在腰椎后路手术围术期镇痛中的应用
张腾蛟, 华震1()
1.北京医院
Application of ultrasound guided regional anesthesia in perioperative analgesia of lumbar posterior surgery
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摘要:

腰椎后路手术患者往往面临着重度疼痛威胁,口服或注射镇痛药难以达到满意的效果,或者面临着严重的并发症。区域麻醉的镇痛效果确切,不良反应较小,性价比高。除了椎管内麻醉、椎旁神经阻滞外,近几年关于椎板后阻滞、多裂肌平面阻滞、胸腰筋膜间平面阻滞和竖脊肌平面阻滞在腰椎后路手术中的应用也屡见报道。但对于这些技术的镇痛效果、操作性、安全性还没有一个整体的比较,本文对此方面进行系统综述。

关键词: 神经阻滞;腰椎后路手术;超声引导;区域麻醉;疼痛管理
Abstract:

Patients with posterior lumbar surgery often face a threat of increased pain, and oral or injection analgesics are difficult to achieve satisfactory results or face serious complications. The analgesic effect of regional anesthesia is exact, the adverse reactions are small, and the cost performance is high. In addition to intraspinal anesthesia, paravertebral nerve block, in recent years, the use of retrolaminar block, multifidus plane block, thoracolumbar interfascial plane and erector spinae plane block in lumbar posterior lumbar surgery have also been reported frequently. However, there is no overall comparison between the analgesic effect, operability and safety of these technologies. This article provides a systematic review of this aspect.

Key words: Nerve block; Posterior lumbar surgery; Ultrasound guidance; Regional anesthesia; Pain management