大量循证医学研究已证明加速康复外科(enhanced recovery after surgery,ERAS)的安全性和有效性,科学的麻醉管理可充分镇痛、抑制应激反应,减少术后并发症,缩短住院时间,达到快速康复.骨科手术作为最常见的手术类型,患者常因在围术期经历疼痛而严重影响预后.超声引导区域阻滞具有镇痛效果确切、节约镇痛药物、不良反应少及提高术后恢复质量等优势,目前多用于术中麻醉和术后镇痛.论文对ERAS理念下超声引导区域阻滞在骨科手术中的应用现状和研究进展进行综述,为临床提供参考.
Research progress in ultrasound-guided regional block in orthopaedic surgery under the concept of ERAS
A large amount of clinical evidence-based medicine research has proven the effectiveness of enhanced recov-ery after surgery(ERAS).A scientific anaesthesia plan can alleviate stress reactions,reduce postoperative complica-tions,shorten hospital stay,and accelerate postoperative recovery.Orthopaedic surgery is the most common type of sur-gery,and patients often experience pain in the perioperative period,which seriously affects prognosis.Ultrasound-guided regional block has advantages such as precise analgesic effect,saving analgesic drugs,fewer side effects,and improved quality of postoperative recovery,and is mainly used for intraoperative anaesthesia and postoperative analgesia.This article reviews the research progress and application of ultrasound-guided regional block in orthopaedic surgery under the ERAS concept.
Enhanced recovery after surgeryOrthopaedic surgeryAnalgesiaRegional blockUltrasound-guided
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