国际麻醉学与复苏杂志   2021, Issue (12): 7-7
    
超声引导下躯干神经阻滞在腹部手术后镇痛的 研究进展
陈鲁宁, 李冰冰1()
1.南京大学医学院附属鼓楼医院
The research progress of ultrasound‑guided truncal nerve blocks for postoperative analgesia after abdominal surgery
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摘要:

躯干神经阻滞是将局部麻醉药注射到特定肌肉之间的平面内,浸润相应神经,在腹部手术后起到镇痛效果。超声引导下的躯干神经阻滞在腹部手术后镇痛运用广泛。文章综述了各类超声引导下躯干神经阻滞的解剖结构、作用机制及临床效果;讨论了各类神经阻滞的适应证、不良反应及潜在原因和机制;此外,还综述了目前临床试验研究中不同躯干神经阻滞之间镇痛效果和并发症的差异以及各类阻滞方案的优缺点。未来尚需进一步研究其确切的机制以及临床效果。

关键词: 加速康复外科; 术后镇痛; 躯干神经阻滞; 腰方肌阻滞; 腹横肌平面阻滞
Abstract:

Truncal nerve blocks, adopted to provide postoperative analgesia after abdominal surgery at present, are performed by injecting the local anesthetics into the planes between specific muscles to infiltrate the corresponding nerves. In order to introduce various ultrasound‑guided trunk nerve block techniques and recent clinical research. This review summarizes the anatomical structure, the mechanism, and clinical effects of various ultrasound‑guided trunk nerve block. The indexes, adverse reactions, and the underlying mechanisms were discussed; In addition, the comparison of analgesic effects and complications among different trunk nerve blocks in clinical trials, as well as the advantages and disadvantages of different nerve block schemes were described. Further studies on the exact mechanism and clinical effects are proposed.

Key words: ERAS. Postoperative analgesia. QLB. TEA. TAP. ESPB