竖脊肌平面阻滞在麻醉与疼痛中的临床应用进展  

Progress in Clinical Application of Erector Spinae Plane Block in Anesthesiology and Pain Medicine

作　　者：翁艳 钟庆[2] 杨岸[2] 汪辉德 叶菱[1] WENG Yan;ZHONG Qing;YANG An;WANG Huide;YE Ling(Department of Pain Management,West China Hospital of Sichuan University,Chengdu 610000,China;Department of Anesthesiology and Pain Management,Jianyang People′s Hospital,Jianyang 641400,China)

机构地区：[1]四川大学华西医院疼痛科,成都610000 [2]简阳市人民医院麻醉疼痛科,四川简阳641400

出　　处：《医学综述》2019年第18期3682-3687,共6页Medical Recapitulate

基　　金：国家自然科学基金(81200865);四川省卫生和计划生育委员会科研课题(17PJ371);简阳市人民医院科研课题(JY201802)

摘　　要：竖脊肌平面阻滞是近年来麻醉学和疼痛诊疗学应用的新型躯干神经阻滞方法。该方法药物注射的目标位置位于竖脊肌与椎体横突之间,为一肌肉间隙,结合超声引导,其定位及操作简单,一经提出在临床上得到了广泛应用。基于竖脊肌较长的走行,不同的进针平面可得到相应的镇痛节段,在围手术期镇痛如胸部手术、腹部手术、骨科手术中得以应用;与其他神经阻滞技术相同,阻断疼痛的外周传导作用使其在疼痛学中也有广泛应用,如开胸术后疼痛综合征、慢性肩痛、复杂区域疼痛综合征等。Erector spinae plane block( ESPB) is a new method of trunk nerve block in anesthesiology and pain medicine in recent years. The target position of the drug injection is a muscle space between the erector spinae muscle and the transverse process of the vertebral body,and it has been widely used in clinical,because of the simple location and operation,high safety with the guidance of ultrasound. Based on the broad coverage of the erector spinae muscle,the analgesic level could be obtained at different needle planes,which could be used in perioperative analgesia such as thoracic surgery,abdominal surgery and orthopedic surgery. Similar to the other nerve block techniques,the blocking of peripheral conduction of pain makes it widely used in pain studies such as pain syndrome after thoracotomy,chronic shoulder pain,complex area pain syndrome and so on.

关 键 词：竖脊肌平面阻滞 超声引导 麻醉 疼痛 

分 类 号：R614[医药卫生—麻醉学]