外周神经阻滞麻醉在糖尿病周围神经病变患者中应用的研究进展  

Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy

作　　者：王佳[1] WANG Jia(Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院麻醉科,北京100035

出　　处：《协和医学杂志》2022年第6期1064-1068,共5页Medical Journal of Peking Union Medical College Hospital

基　　金：北京积水潭医院学科新星项目(XKXX201806)。

摘　　要：外周神经阻滞麻醉的合理应用可避免全身麻醉或椎管内麻醉相关并发症,促进患者康复,其在糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)患者中的应用存在一定优势并日益受到重视。但由于DPN患者的外周神经已存在基础病变,应用外周神经阻滞麻醉是否增加神经损伤风险引起广泛关注。本文将对外周神经阻滞麻醉在DPN患者中的优势、麻醉实施、局麻药浓度和佐剂的选择、降低麻醉相关并发症风险等方面内容进行阐述,旨在为临床实践提供依据,提高外周神经阻滞麻醉在DPN患者中应用的安全性。Diabetes is one of the most common metabolic conditions worldwide.Regional anesthesia has benefits in promoting the restoration of function and may avoid worse outcomes compared to general anesthesia and intravertebral anesthesia.However,patients with diabetes are susceptible to peripheral neuropathy.The incidence of complications of regional anesthesia in patients with diabetes is supposed to be higher.The aim of this review is to explore the strategies of regional anesthesia implementation,the selection of adjuvant,and the way to reduce the risk of complications.This,in turn,will allow practitioners to undertake more informed decision-making and potentially modify their anesthetic technique for patients with diabetes.

关 键 词：糖尿病周围神经病变 外周神经阻滞 局部麻醉 

分 类 号：R614.3[医药卫生—麻醉学] R587.2[医药卫生—外科学]