超声引导竖脊肌平面阻滞在腹部手术中应用的研究进展  

Research Progress in Application of Ultrasound-Guided Erector Spinae Plane Block in Abdominal Surgery

作　　者：杨晓旭 罗俊[2] YANG Xiaoxu;LUO Jun(Anesthesia and Surgery Center,Chengdu Seventh People′s Hospital,Chengdu 610213,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]成都市第七人民医院麻醉手术中心,成都610213 [2]四川大学华西医院麻醉科,成都610041

出　　处：《医学综述》2023年第23期5463-5467,共5页Medical Recapitulate

摘　　要：腹部手术后常伴随剧烈疼痛,严重影响患者术后康复。但由于传统阿片类药物及椎管内镇痛技术存在不良反应等,两者在临床镇痛治疗中的应用受到限制。近年来在多模式镇痛理念下,神经阻滞技术成为围手术期镇痛研究的热点,其在围手术期镇痛方面的有效性和安全性已得到临床认可。竖脊肌平面阻滞(ESPB)作为一种新兴的筋膜间阻滞技术,具有定位简单、效果确切的优点,临床应用前景广阔。但目前仍缺乏关于ESPB在不同腹部手术中应用的相关研究。因此,深入研究ESPB的作用机制、镇痛效果及适用范围,可为行腹部手术患者围手术期镇痛提供新的治疗思路。Abdominal surgery is often accompanied by severe postoperative pain,which seriously affects the postoperative rehabilitation of the patients.However,due to the problems of traditional opioid and intraspinal analgesia techniques,such as adverse effects,the application of both to clinical analgesic treatment is limited.In recent years,under the concept of multimodal analgesia,nerve block technique has become a research hotspot in perioperative analgesia,and its efficacy and safety in perioperative analgesia have been clinically recognized.Erector spinae plane block(ESPB),as a new interfascial block technique,has the advantages of simple location and exact effect,and is widely used in the clinic.There is still a lack of research about the specific protocol and efficacy of ESPB in different abdominal surgeries.Therefore,the in-depth study of the mechanisms of action,analgesic effect and application scope of ESPB may provide new therapeutic ideas for perioperative analgesia in patients undergoing abdominal surgery.

关 键 词：腹部手术 超声引导 竖脊肌平面阻滞 围手术期镇痛 

分 类 号：R614.4[医药卫生—麻醉学]