首页|腰方肌阻滞在髋关节术后镇痛中的应用

腰方肌阻滞在髋关节术后镇痛中的应用

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髋关节手术创伤大,患者术后往往伴随中重度疼痛.安全且有效的术后镇痛可以有效促进患者的康复活动,有利于髋关节手术后患者早期功能恢复.常规使用的静脉自控镇痛虽然镇痛效果确切,但可能引起恶心呕吐、过度镇静、肠麻痹,甚至呼吸抑制等不良反应.腰方肌阻滞(QLB)作为一种替代腹横肌平面阻滞(TAPB)的技术.近年来逐渐应用于髋关节手术.本文通过对QLB的解剖基础、作用特点及其在髋关节手术中的应用作一综述,为QLB在髋关节术后镇痛中的应用提供参考.
Advances of quadratus lumborum block in postoperative analgesia after hip joint surgery
Hip surgery is often associated with moderate to severe postoperative pain due to exten-sive invasion.A safe and effective postoperative pain treatment can promote patients'recovering activities and facilitate the early functional recovery of the hip after the surgery.Although the routinely used intrave-nous self-controlled analgesia has an exquisite analgesic effect,it carries the risks of postoperative nausea and emesis,excessive sedation,intestinal paralysis,and even respiratory depression.As an alternative to transversus abdominis plane block(TAPB),lumbar quadratus block(QLB)has been gradually applied to the hip joint surgery.In this paper,we review the anatomical basis and characteristics of QLB and its clini-cal application in hip surgery,in order to provide the postoperative analgesia application of QLB.

Postoperative painHip jointQuadratus lumborum blookAnalgesia

尹昕睿、韩侨宇、栗亚茹、王璐、冯艺、姜陆洋

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100044 北京大学人民医院麻醉科

中国医学科学院阜外医院麻醉科

术后疼痛 髋关节 腰方肌阻滞 镇痛

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(6)
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