不同局麻药佐剂在周围神经阻滞中的应用进展  

Progress in the Application of Different Local Anesthetic Adjuvants in Peripheral Nerve Block

作　　者：谢淑华[1] 牛敏[1] 耿立成[1] XIE Shuhua;NIU Min;GENG Licheng(Department of Anesthesiology,Tianjin People’s Hospital,Tianjin 300121,China)

机构地区：[1]天津市人民医院麻醉科,天津300121

出　　处：《中国伤残医学》2024年第13期151-155,160,共6页Chinese Journal of Trauma and Disability Medicine

摘　　要：超声引导下周围神经阻滞技术在临床麻醉和术后镇痛中的应用越来越广泛。目前,怎样缩短周围神经阻滞的起效时间、延长所用局麻药的作用时间、降低局麻药的毒性反应、增强周围神经阻滞效果是临床麻醉关注的热点问题。许多学者为了缩短周围神经阻滞麻醉的起效时间,增强阻滞效果,延长阻滞的作用时间,尝试了在局麻药中加入多种佐剂进行研究,对比了在周围神经阻滞中应用不同局麻药佐剂的作用效果。本文将对近年来在周围神经阻滞中应用不同局麻药佐剂的应用和研究进展做一综述,以期为临床麻醉医生进行周围神经阻滞提供指导。Ultrasound-guided peripheral nerve block is widely used in clinical anesthesia and postoperative analgesia.At present,how to shorten the acting time of peripheral nerve block,prolong the acting time of local anesthetics,reduce the toxic reaction of local anesthetics and enhance the effect of peripheral nerve block is a hot issue that clinical anesthesiologists pay attention to.In order to shorten the effective time of peripheral nerve block anesthesia,enhance the effect of block and prolong the action time of block,many scholars have tried to add a variety of adjuvants to local anesthetics,analyzed and compared the effect of using different local anesthetic adjuvants,and whether the block action time is prolonged.In this paper,the application and research progress of different local anesthetic adjuvants in peripheral nerve block in recent years will be reviewed,in order to provide guidance for clinical anesthesiologists in peripheral nerve block.

关 键 词：周围神经阻滞 局麻药 佐剂 

分 类 号：R614[医药卫生—麻醉学]