神经阻滞技术在正颌手术的应用进展  

Progress in the application of nerve block technique in orthognathic surgery

作　　者：吴宇飞 王沛娟 刘冰 薛荣亮[1] WU Yufei;WANG Peijuan;LIU Bing;XUE Rongliang(Department of Anesthesiology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004;Department of Anesthesiology,The Third Affiliated Hospital of Air Force Medical University,Xi'an 710032,China)

机构地区：[1]西安交通大学第二附属医院麻醉科,陕西西安710004 [2]空军军医大学第三附属医院麻醉科,陕西西安710032

出　　处：《麻醉安全与质控》2021年第6期460-463,共4页Perioperative Safety and Quality Assurance

摘　　要：正颌手术被用来矫治牙颌面畸形。但该手术会导致患者术后剧烈疼痛,术后常需使用阿片类药物镇痛,增加术后恶心呕吐(PONV)的发生率,延缓患者康复。以神经阻滞为主的多模式镇痛已经被证实可以从多方面加速患者康复。本文就神经阻滞在正颌术中应用的解剖学基础、阻滞方法、阻滞用局麻药及临床效果进行综述。旨在为其临床治疗及后续研究提供一定的参考依据。Orthognathic surgery is used to correct dentofacial abnormalities.But the procedure can cause intense postoperative pain.The opioids are often used for pain blocking,which increase the incidence of postoperative nausea and vomiting.And these medications may extend patients'recovery period.Multimodal analgesia mainly based on nerve block has been proved to enhance patients'recovery in many aspects.This article reviews the clinical application of nerve block in orthognathic surgery about trigeminal anatomy,methods of nerve block,local anesthetic and clinical effects,aiming to provide some references for its clinical treatments.

关 键 词：正颌手术 神经阻滞 三叉神经阻滞 上颌神经阻滞 下颌神经阻滞 下牙槽神经阻滞 

分 类 号：R782.054[医药卫生—口腔医学]