竖脊肌平面阻滞的围术期应用进展  

The perioperative application of erector spinae plane block

作　　者：林道艺 叶鹏 龚灿生[1] 王丹凤[1] 郑艇[1] 郑晓春[1] LIN Daoyi;YE Peng;GONG Cansheng;WANG Danfeng;ZHENG Ting;ZHENG Xiaochun(Department of Anesthesiology,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院麻醉科,福州350001

出　　处：《临床外科杂志》2024年第6期657-660,共4页Journal of Clinical Surgery

摘　　要：由Forero等提出的竖脊肌平面阻滞(erector spinae plane block, ESPB)技术因其操作简单、安全性高、效果可靠、并发症少等优势而受到关注。目前已成功应用于围术期的麻醉管理。本综述主要介绍了ESPB的解剖基础、可能的作用机制、常用的操作方法以及围术期的临床应用,并从ESPB的优缺点与可能出现的并发症出发,为医师在围术期对ESPB的选择与ESPB未来发展提供证据支持。The erector spinae plane block(ESPB)technique proposed by Forero et al.has drawn increasing attention due to its reliable effects and fewer complications in simple and safe procedures.It has been successfully applied in anesthesia management during the perioperative period.This article mainly introduces the anatomical basis,possible mechanism of action,common operating methods,and clinical applications during the perioperative period of ESPB.Starting from the advantages,disadvantages,and complications of ESPB,it compares ESPB with other common thoracolumbar analgesic methods,providing better evidence support for the perioperative application and future development of ESPB.

关 键 词：竖脊肌平面阻滞 神经阻滞 围术期应用 镇痛方法 

分 类 号：R614[医药卫生—麻醉学]