腹直肌鞘阻滞中国专家共识(2023版)  

Expert consensus on rectus sheath block in China (2023 edition)

作　　者：王小平[1] 王锷[2] 舒海华 陈宇[4] 蔡宇晶 段彬[2] 冯霞[4] 宫庆娟[5] 黄雪花[6] 胡中华[7] 李水清[8] 李雅兰[9] 廖琴[7] 雷洪伊[10] 马武华[11] 马璐璐[12] 马柯[6] 孙涛 徐世元[10] 王亚平[14] 王海棠[15] 王勇[11] 邹海盯 肖礼祖 郑拥军 Wang Xiaoping;Wang E;Shu Haihua;Chen Yu;Cai Yujing;Duan Bin;Feng Xia;Gong Qingjuan;Huang Xuehua;Hu Zhonghua;Li Shuiqing;Li Yalan;Liao Qin;Lei Hongyi;Ma Wuhua;Ma Lulu;Ma Ke;Sun Tao;Xu Shiyuan;Wang Yaping;Wang Haitang;Wang Yong;Zou Haiding;Xiao Lizu;Zheng Yongjun(Department of Painology,First Affiliated Hospital of Jinan University,Guangzhou City,Guangdong Province 510630,China;Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha City,Hunan Province 410008,China;Department of Anesthesiology,Guangdong Provincial People's Hospital,Guangzhou City,Guangdong Province 510080,China;Department of Anesthesiology,First Affiliated Hospital of Sun Yat-Sen University,Guangzhou City,Guangdong Province 510080,China;Department of Painology,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou City,Guangdong Province 510260,China;Department of Painology,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai City 200092,China;Department of Anesthesiology,Third Xiangya Hospital,Central South University,Changsha City,Hunan Province 410013,China;Department of Painology,Peking University Third Hospital,Beijing City 100191;Department of Anesthesiology,First Affiliated Hospital of Jinan University,Guangzhou City,Guangdong Province 510630,China;Department of Anesthesiology,Zhujiang Hospital,Southern Medical University,Guangzhou City,Guangdong Province 510282,China;Department of Anesthesiology,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou City,Guangdong Province 510140,China;Department of Anesthesiology,Peking Union Medical College Hospital,Beijing City 100730,China;Department of Painology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan City,Shandong Province 250021,China;Department of Painology,The Second Xiangya Hospital,Central South University,Changsha City,Hunan Province 410008,China;Department of Anesthesiology,Nanfang Hospital,Southern Medical University,Guangzhou City,Guangdong Province 5

机构地区：[1]暨南大学附属第一医院疼痛科,广州市510630 [2]中南大学湘雅医院麻醉科,长沙市410008 [3]广东省人民医院麻醉科,广州市510080 [4]中山大学附属第一医院麻醉科,广州市510080 [5]广州医科大学附属第二医院疼痛科,广州市510260 [6]上海交通大学医学院附属新华医院疼痛科,上海市200092 [7]中南大学湘雅三医院麻醉科,长沙市410013 [8]北京大学第三医院疼痛科,北京100191 [9]暨南大学附属第一医院麻醉科,广州市510630 [10]南方医科大学珠江医院麻醉科,广州市510282 [11]广州中医药大学第一附属医院麻醉科,广州市510140 [12]北京协和医院麻醉科,北京100730 [13]山东第一医科大学附属省立医院疼痛科,济南市250021 [14]中南大学湘雅二医院疼痛科,长沙市410008 [15]南方医科大学南方医院麻醉科,广州市510515 [16]华中科技大学协和深圳医院疼痛科,深圳市518052 [17]复旦大学附属华东医院疼痛科,上海市200040

出　　处：《中华疼痛学杂志》2023年第1期13-21,共9页Chinese Journal Of Painology

摘　　要：神经阻滞是术后多模式镇痛的重要组成部分,腹直肌鞘阻滞是临床常用的神经阻滞方法之一,主要阻滞肋间神经的前皮支,对腹部中线切口具有明确的镇痛效果,同时在疼痛诊疗中也有良好的应用。本专家共识介绍了腹直肌鞘阻滞的相关解剖结构、阻滞方法、常用药物、并发症以及临床应用等,供指导临床应用。Nerve block is an important part of postoperative multimodal analgesia.Rectus sheath block is one of the commonly used nerve block methods in clinical practice,which mainly blocks the anterior cutaneous branch of intercostal nerves.This method has a clear analgesic effect on midline abdominal incision,and has a good application in pain diagnosis and treatment.This expert consensus introduces the related anatomical structure,blocking method,commonly used drugs,complications and clinical application of rectus sheath block in order to guide the clinical practice.

关 键 词：腹直肌 神经传导阻滞 专家共识 

分 类 号：R614[医药卫生—麻醉学]