区域阻滞用于经皮椎间孔镜技术麻醉的研究进展  

Research progress on regional block for percutaneous foraminoscopic anesthesia

作　　者：赵婉璐 安海燕[1] ZHAO Wan-lu;AN Hai-yan(Department of Anesthesiology,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院麻醉科,北京100044

出　　处：《中国疼痛医学杂志》2024年第3期210-214,共5页Chinese Journal of Pain Medicine

摘　　要：随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药作为其主要的麻醉方式以保留病人意识及神经易感性。围手术期良好的镇痛管理不仅是术者手术操作顺利进行的基础,更是加快病人功能锻炼及康复的关键。现已有多种区域阻滞方式联合可视化技术成功应用于经皮椎间孔镜下腰椎手术的围手术期镇痛。本文将依次介绍近年应用于椎间孔镜技术区域阻滞的方案及其优劣势,旨在使病人更舒适更安全的完成微创手术,缩短病人术后功能锻炼和康复时间,提高满意度及再手术意愿,实现快速康复理念。The progress in enhanced recovery after surgery(EARS)and the comfort medicine approach has enabled the effective implementation of percutaneous foraminal endoscopy in a range of spinal surgeries.This procedure utilizes a minimally invasive strategy and endoscopic technology to reduce tissue trauma.To prevent inadvertent nerve damage,a combination of regional block and intravenous analgesia has become the preferred anesthesia method,allowing for patient awareness and nerve sensitivity during the operation.Effective pain management in the perioperative period is not only crucial for a smooth surgical process but also essential for the patient's subsequent functional training and recovery.The integration of various regional block techniques with advanced visualization tools has proven effective in providing pain relief during lumbar spine surgeries performed with transforaminal endoscopy.This article will examine the latest popular regional block and analgesic strategies,assessing their benefits and drawbacks,with the objective of enhancing patient comfort and safety during surgery.The aim is to reduce postoperative recovery time for functional exercises,improve patient satisfaction,and foster a greater readiness for reoperation,adhering to the principles of rapid recovery.

关 键 词：经皮椎间孔镜技术 区域阻滞 快速康复外科 

分 类 号：R614[医药卫生—麻醉学]