局麻药连续伤口输注技术在临床术后镇痛中应用的研究进展  

Application of Continuous Wound Infusion for Clinical Postoperative Analgesia

作　　者：刘芳芳[1] 纪木火[1] 吴智方[1] 金利[1] 李伟彦[1] 

机构地区：[1]南京军区南京总医院麻醉科,江苏南京210002

出　　处：《现代生物医学进展》2015年第16期3173-3175,共3页Progress in Modern Biomedicine

摘　　要：局麻药连续伤口输注技术是区域阻滞的一种,其从源头上阻滞了切口伤害性刺激信号的发生与传导。作为新一代的术后镇痛方式,它通过一种与神经周围或切口中插管相连的弹力球囊或便携式电子泵实施患者自我控制式区域镇痛。与传统的术后镇痛方式相比,它可安全有效便捷的用于临床术后镇痛,又可避免硬膜外穿刺置管的风险,还能减少阿片类药物的应用,因而在安全镇痛和加速康复方面更有优势。本文就局麻药连续伤口输注技术的应用作以下综述,为临床术后多模式镇痛提供参考。Continuous wound infusion is one of the regional blocks, which inhibits nociceptive signal generation and conduction of the incision from the origin. As a new technique of postoperative analgesia, it is implemented through a linked elastic balloon or portable electronic pump. An infusion catheter is designed specifically for perineural infusion, featuring several openings along the length of the catheter to ensure widespread and uniform drug delivery is threaded through the introducer or along most or all of the length of the wound. Compared to traditional postoperative analgesia, it is a safe, effective, and convenient analgesia method for clinical postoperative pain management, and avoids the risk of epidural catheterization and reduces opioid consumption. Thus, it is advantageous for safe analgesia and early recovery.

关 键 词：局麻药 连续伤口输注 镇痛 

分 类 号：R614.3[医药卫生—麻醉学]