竖脊肌平面阻滞在胸科术后急慢性疼痛中的研究进展  

Research progress of erector spinae plane block in acute and chronic pain after thoracic surgery

作　　者：张璐[1] 李琪英[1] ZHANG Lu;LI Qiying(the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《临床医学研究与实践》2021年第11期190-192,共3页Clinical Research and Practice

基　　金：重庆市卫生局2010年度医学科研计划项目(No.2010-2-076)。

摘　　要：胸科手术患者对急性疼痛的耐受力差,并可能引发与术后慢性疼痛相关的病理生理变化。目前常用的胸部区域阻滞技术各有其局限性,竖脊肌平面阻滞(ESPB)以其安全性、简便性、有效性受到临床欢迎。本文对ESPB的应用解剖基础、作用机制、常用药物、胸科临床应用进行综述,以期对临床应用提供参考。Patients undergoing thoracic surgery have poor tolerance for acute pain,and the surgery may cause pathophysiologic changes associated with postoperative chronic pain.At present,the commonly used regional thoracic block techniques have their own limitations,and erector spinae plane block(ESPB)is popular in clinic for its safety,simplicity and effectiveness.In this paper,the applied anatomical basis,mechanism of action,commonly used drugs and clinical application in thoracic surgery of ESPB were reviewed in order to provide reference for clinical application.

关 键 词：区域神经阻滞 竖脊肌平面阻滞 急慢性疼痛 胸科手术 

分 类 号：R614.4[医药卫生—麻醉学]