超声引导下竖脊肌平面阻滞在心胸手术围术期镇痛中的研究进展  

Advance of the Ultrasound-guided Erector Spinae Plane Block in the Perioperative Analgesia of Cardiothoracic Surgery

作　　者：刘文蓉 王晓东[2] 于松杨 LIU Wenrong;WANG Xiaodong;YU Songyang(Binzhou Medical University,Yantai 264003,China)

机构地区：[1]滨州医学院,山东烟台264003 [2]山东省威海市立医院

出　　处：《中国医学创新》2020年第9期165-168,共4页Medical Innovation of China

摘　　要：心胸手术创伤大,有效的术后镇痛是促进患者康复的重要措施,超声引导下神经阻滞作为多模式镇痛的基础扮演着越来越重要的角色。竖脊肌平面阻滞是一种新兴的躯干神经阻滞,以其安全性较高、操作简单、成功率高和阻滞范围广等优点受到麻醉医生的欢迎,目前已应用于包括心胸手术在内的多种手术等领域,可提供良好的术后镇痛,并且还能降低阿片类药物使用和术后并发症。本文将通过解剖基础、作用机制、操作方法、阻滞范围以及竖脊肌平面阻滞在成人、小儿心胸手术、心胸外科术后慢性疼痛综合征中的应用综合阐述,以探讨其在心胸手术中未来的发展方向。Cardiothoracic surgery is an extensive and complex procedure,and effective postoperative analgesia is an important measure to promote the recovery of patients.Ultrasound-guided nerve block plays an increasingly important role as a part of multimodal analgesia.Erector spinae plane block is a new kind of trunk nerve block,with its high security,simple operation,high success rate and wide blocking range was welcomed by the anesthesiologist,and has been applied to include a variety of fields such as cardiothoracic surgery can provide good postoperative analgesia,and also can reduce opioid use and postoperative complications.In this paper,the applied anatomy,mechanism,operational approach,block segment as well as the application of erector spinae plane block in adult,pediatric cardiothoracic surgery,postoperative chronic pain syndrome after cardiothoracic surgery were comprehensively elaborated to discuss the future development direction of erector spinae plane block in cardiothoracic surgery.

关 键 词：加速康复外科 超声引导 竖脊肌平面阻滞 疼痛 心胸外科手术 

分 类 号：R614[医药卫生—麻醉学]