超声引导下筋膜平面阻滞的应用进展  

Research progress in ultrasound-guided fascia plane blocks

作　　者：朱鹏成 杨海涛[1] ZHU Pengcheng;YANG haitao(Department of Anesthesiology,the Second Hospital of Dalian Medical University,Dalian 116027,China)

机构地区：[1]大连医科大学附属第二医院麻醉科,辽宁大连116027

出　　处：《大连医科大学学报》2023年第2期156-163,共8页Journal of Dalian Medical University

摘　　要：神经阻滞是一种起效快、并发症少、安全性高的镇痛方式。超声引导下筋膜平面阻滞是指通过超声,在可视的情况下引导穿刺针至特定筋膜平面,阻滞该平面内神经的一种阻滞方法。其操作相对简单,解剖标志易于寻找,安全性高,是术中、术后减少阿片类药物应用的重要手段。目前临床上常用的超声引导下筋膜平面阻滞方法包括:前锯肌平面阻滞、胸椎旁神经阻滞、腹横肌平面阻滞、腰方肌阻滞、竖脊肌平面阻滞等,已经能满足胸部、腹部、腰部以及背部的手术镇痛。本文就临床主要的筋膜平面阻滞方式的应用进展进行综述。Nerve block is an analgesic method with rapid onset,fewer complications,and high safety.Fascia plane block under ultrasound guidance refers to a block method in which the puncture needle is guided under visual condition by ultrasound to a specific fascia plane and block the nerves in the plane.It has the advantages of relatively simple procedure,clear anatomical landmarks,and high safety,and has become an important measure to reduce opioids usage during and after surgery.At present,the commonly used methods of ultrasound-guided fascia plane block in clinical practice include:serratus anterior plane block,thoracic paravertebral block,transversal abdominal plane block,quadratus lumborum block,erector spinus plane block,etc.,which has been able to meet the surgical analgesia requirements for chest,abdomen,waist and back.This paper reviews the progress of fascial plane blocks.

关 键 词：筋膜平面 镇痛 神经阻滞 

分 类 号：R614[医药卫生—麻醉学]