锁胸筋膜平面阻滞的研究进展
Research advances in the clavipectoral fascial plane block
陈剑明 1郝志敏 2刘志恒1
作者信息
- 1. 深圳市第二人民医院麻醉科,深圳 518035
- 2. 南方科技大学医院麻醉科,深圳 518055
- 折叠
摘要
锁骨手术是手术室中常见的手术类型,全麻或神经阻滞均能满足手术需要.锁胸筋膜平面阻滞(CPB)是一种用于锁骨区域手术的新型阻滞技术,该技术操作简便、麻醉/镇痛效果确切,可避免膈神经麻痹和上肢运动功能阻滞,尤其适用于心肺功能受损、双侧锁骨骨折等患者.文章就锁骨的神经支配,锁骨手术常用麻醉方式,CPB的操作步骤、阻滞机制、临床应用及目前存在的不足等进行综述,以期为临床应用提供参考.
Abstract
Clavicle surgery is a common type of surgery in the operating room.Either general anesthesia or nerve blocking an-esthesia can be used to meet the anesthesia requirement of the operation.Clavipectoral fascial plane block(CPB)is a new block tech-nique for clavicle region surgery.This technique is easy to perform,with clear anesthesia/analgesia effect.Since it avoids phrenic nerve paralysis and upper limb motor function block,it is especially suitable for patients who suffer impaired cardiopulmonary func-tion or bilateral clavicle fracture.This review summarizes the innervation of the clavicle,common anesthesia methods for clavicle sur-gery,and the operation steps,block mechanism,clinical application and current shortcomings of CPB to provide a reference for clini-cal application.
关键词
锁骨手术/锁胸筋膜平面阻滞Key words
Clavicle surgery/Clavipectoral fascial plane block引用本文复制引用
出版年
2024
NETL
NSTL
万方数据