超声引导下区域神经阻滞用于腹腔镜减重手术后镇痛的研究进展  

Research progress of ultrasound-guided regional nerve block for postoperative analgesia after laparoscopic bariatric surgery

作　　者：王迪 丁颖[1] 纪木火 童建华 WANG Di;DING Ying;JI Muhuo;TONG Jianhua(Department of Anesthesiology,the Second Hospital of Nanjing Medical University,Nanjing 210011,China)

机构地区：[1]南京医科大学第二附属医院麻醉科,210011

出　　处：《临床麻醉学杂志》2024年第7期746-750,共5页Journal of Clinical Anesthesiology

摘　　要：接受减重手术的患者术后中重度疼痛发生率较高,而术后大剂量阿片类药物的应用易引起呼吸抑制、恶心呕吐等不良反应。以超声引导下区域神经阻滞为基础的多模式镇痛在减重手术的疼痛管理中逐渐展现出突出的优势,能够有效减少阿片类药物用量,降低术后并发症发生率,提高术后恢复质量。近年来,不同的区域神经阻滞方法在减重手术中的应用相继报道。本文就腹腔镜减重手术后疼痛特点、不同神经阻滞技术的应用及效果和局限性进行综述,为临床应用提供参考。Patients undergoing bariatric surgery are often accompanied by moderate to severe postoperative pain,and the application of high-dose opioids after surgery is more likely to cause adverse reactions such as respiratory depression,nausea and vomiting.Multimodal analgesia strategy based on ultrasound-guided regional nerve block has gradually shown outstanding advantages in the pain management of bariatric surgery,which can effectively reduce the dosage of opioids,reduce the incidence of postoperative complications,and improve the quality of postoperative recovery.In recent years,the application of different regional nerve block methods in bariatric surgery has been reported.This article reviews the characteristics of pain after laparoscopic bariatric surgery,the application,effects and limitations of different nerve block techniques,so as to provide reference for clinical application.

关 键 词：减重手术 术后镇痛 神经阻滞 腹腔镜 

分 类 号：R614[医药卫生—麻醉学]