国际麻醉学与复苏杂志   2019, Issue (1): 0-0
    
超声引导下腰方肌阻滞的方法和进展
姜慧颖, 江晓菁1()
1.中国医科大学第一临床学院
The techniques and advances of ultrasound-guided quadratus lumborum block
 全文:
摘要:

超声引导下腰方肌阻滞(quadratus lumborum block, QLB)是近几年被提出的一种新的躯干阻滞方法,目前主要应用于剖宫产及其他腹部手术的复合麻醉、术后镇痛等。大量的研究表明,QLB与腹横肌平面阻滞(transversus abdominis plane block, TAPB)相比,有更广泛的阻滞平面(T7~L1)及对内脏痛的削弱作用。深入研究QLB的作用机制和有效性,可为临床麻醉镇痛提供新的思路。此文回顾近年来国内外对超声引导下QLB的研究,对其操作方法、研究进展及临床应用进行综述。

关键词: 腰方肌阻滞; 腹横肌平面阻滞
Abstract:

Ultrasound-guided quadratus lumborum block (QLB) is a new method of truncal blockage in recent years. It is mainly used for combined or postoperative analgesia during cesarean delivery and other abdominal surgery. A large number of studies have shown that QLB can provide more extensive abdominal wall and visceral analgesia than transversus abdominis plane block(TAPB). The research advances of QLB will contribute to the development of new and safe methods of clinical anesthesia and analgesia. This review focuses on the recent advances, techniques and clinical applications regarding ultrasound-guided GLB.

Key words: Quadratus lumborum block; Transversus abdominis plane block