超声引导下髂筋膜间隙神经阻滞技术的研究进展  

Research Progress of Ultrasound-Guided Fascia Iliaca Compartment Block

作　　者：钱玉莹 郭志远 王祥和[1] 

机构地区：[1]安徽医科大学附属解放军第九八医院麻醉科,浙江湖州313000

出　　处：《医学综述》2018年第1期160-164,共5页Medical Recapitulate

摘　　要：超声引导下髂筋膜间隙阻滞(FICB)是利用超声影像学技术实时显示周围解剖,在超声可视下行穿刺,从而准确将局部麻醉药注入髂筋膜间隙及阻滞腔隙内的主要神经。超声引导下的FICB技术在患者下肢及髋部手术围术期多模式镇痛中效果良好、操作简便,并可促进患者康复。目前随着超声检查技术的发展,FICB的应用也逐渐广泛,且FICB的操作方法、局部麻醉药物用量等问题亦成为研究热点,但FICB对闭孔神经阻滞的治疗效果,还需不断探索研究,以加深对FICB的认识。Ultrasound-guided fascia iliaca compartment block （FICB） is blocking the main nerves behind the fascia iliaca under the real-time ultrasound guidance. Ultrasound-guided FICB technology works well in multi-modal analgesia during the perioperative period of lower extremity and hip surgery in patients with simple and easy operation and can promote patient rehabilitation. At present, with the development of ultrasonic examination technology, the application of FICB is also gradually widespread, and the operation methods of FICB, the amount of local anesthetic drug usage have become the research hotspots, however, the treatment effect of FICB on obturator nerve block needs further exploration and study to deepen the understanding of FICB.

关 键 词：神经传导阻滞 筋膜 超声检查 镇痛 

分 类 号：R614.4[医药卫生—麻醉学]