首页|区域阻滞用于胸腔镜手术患者术后镇痛的研究进展

区域阻滞用于胸腔镜手术患者术后镇痛的研究进展

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术后疼痛是影响胸腔镜手术患者术后快速康复的重要因素,有效地镇痛可明显缓解术后疼痛,减少阿片类药物的应用,减少术后并发症的发生。随着超声技术的发展,超声引导下的区域阻滞因准确率高、并发症少的优点,临床应用越来越广泛,已成为胸腔镜手术患者术后镇痛的重要组成部分。目前,胸腔镜手术常用的区域阻滞有胸段硬膜外镇痛、胸椎旁神经阻滞、前锯肌平面阻滞、竖脊肌平面阻滞和肋间神经阻滞等。该文对各种类型区域阻滞技术在胸腔镜手术患者术后镇痛中的临床应用进行综述。
Research progress of regional block for postoperative analgesia in patients undergoing thoracoscopic surgery
Postoperative pain is an important factor affecting the rapid recovery of patients undergoing thoracoscopic surgery.Effective analgesia can significantly relieve postoperative pain,reduce the use of opi-oids,and reduce the occurrence of postoperative complications.With the development of ultrasound technolo-gy,ultrasound-guided regional block has become an important part of postoperative analgesia in patients un-dergoing thoracoscopic surgery due to its advantages of high accuracy and few complications.At present,tho-racic epidural analgesia,thoracic paravertebral block,serratus anterior plane block,erector spinae plane block and intercostal nerve block.etc are commonly used in thoracoscopic surgery.This article reviewed the clinical application of the various types of regional block techniques in postoperative analgesia in patients undergoing thoracoscopic surgery.

Thoracoscopic surgeryRegional blockPostoperative analgesiaReview

林琤、丁登峰

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暨南大学第二临床医学院,广东 深圳 518020

深圳市人民医院麻醉科,广东 深圳 518020

胸腔镜手术 区域阻滞 术后镇痛 综述

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(13)