超声引导下胸椎旁神经阻滞教学方法的探讨  

Exploring of the teaching method of ultrasonic guided paravertebral block

作　　者：康芳[1] 李娟[1] KANG Fang;LI Juan(Department of Anesthesiology,Anhui Provincial Hospital,Anhui Medical University,Hefei 230000,China)

机构地区：[1]安徽省立医院麻醉科,安徽合肥230000

出　　处：《麻醉安全与质控》2017年第6期326-328,共3页Perioperative Safety and Quality Assurance

基　　金：安徽省自然科学基金(11040606M169)

摘　　要：胸椎旁神经阻滞(PVB)通过阻滞胸段脊神经,麻醉胸段及上腹部皮肤、肌肉及胸膜,常用于胸部、上腹部手术的麻醉镇痛及急慢性胸部疼痛的治疗。传统体表定位法穿刺需要丰富的经验,成功率低,并发症多,而超声引导使PVB更加容易操作,应用范围更广,并发症更少。住院医师规范化培训教学中,学习超声引导下PVB,需要掌握超声相关知识、胸椎旁间隙的解剖、超声影像和解剖结构的对应关系,并通过必要的模拟培训及循序渐进的临床实践来掌握此项技能。The Thoracic paravertebral block acts on thoracic spinal nerves and interrupts transmissions to and from skin,muscle and pleura of thorax and upper abdomen.It is commonly utilized as an anesthesia and analgesia technique for thoracic and upper abdominal surgeries as well as in acute or chronic chest pain management.Traditional body surface landmark-based technique requires a wealth of experience,is associated with low success and high complication rate.Ultrasonic guided paravertebral block is easier to operate with a wider range of applications and fewer complications.During the standardized training of resident physicians on the ultrasound-guided thoracic paravertebral nerve block,the trainees need to master the knowledge of ultrasound and the anatomy of thoracic paravertebral space,understand the corresponding relationship between ultrasound images and anatomical structures.Relevant simulation training and stepwise clinical practice drill are necessary in order to master this technique.

关 键 词：超声检查 椎旁间隙 胸段 神经阻滞 教学 规培 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]