腰方肌阻滞用于全髋关节置换术后镇痛的研究进展  

Study advances in quadratus lumborum block for postoperative analgesia after total hip arthroplasty

作　　者：庄欢(综述) 何开华(审校)[1] ZHUANG Huan;HE Kaihua(Department of Anesthesiology,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麻醉科,400016

出　　处：《重庆医学》2021年第7期1222-1226,共5页Chongqing medicine

基　　金：重庆市医学重点学科建设项目(渝卫科教[2007]2号);卫生部国家临床重点专科建设项目(财社[2011]170号)。

摘　　要：目前,全髋关节置换术(THA)在恢复患肢功能方面的应用日渐突出,但患者术后常常并发剧烈疼痛,尤其是功能锻炼时引发强烈活动痛,这一问题亟待解决。大量文献报道了腰方肌阻滞(QLB)应用于THA术后镇痛,效果确切,根据临床实践,QLB有望成为THA术后镇痛的首选方法。该文将从QLB的解剖基础、作用机制、临床应用、局部麻醉药物的浓度及容量选择、与其他神经阻滞方法的比较等方面综述QLB的研究进展。At present,the application of total hip arthroplasty(THA)in the aspect of functional recovery of ill limb is increasingly prominent.But severe pain is usually present after operation,especially the functional exercise causes the intense motion pain,this problem is urgent to be resolved.Recently,a large number of literatures have reported that the application of quadratus lumborum block(QLB)in postoperative analgesia of THA has a definite effect.According to clinical practice,QLB is expected to be the first choice for postoperative analgesia of THA.This paper reviews the study advances in QLB from the aspects of anatomical basis,mechanism of action,clinical application,concentration and volume selection of local anesthetics,comparison with other peripheral nerve blocks,etc.

关 键 词：全髋关节置换术 腰方肌阻滞 术后镇痛 局部麻醉 药物浓度 

分 类 号：R614[医药卫生—麻醉学]