竖脊肌平面阻滞在脊柱外科手术中应用进展
Application of Erector Spinae Plane Block in Spine Surgery:A Review
徐慧 1马璐璐1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院麻醉科,北京 100730
- 折叠
摘要
脊柱外科手术会产生中度至重度疼痛,而疼痛控制不佳会严重影响患者预后及康复.竖脊肌平面阻滞(ESPB)是2016年首次提出的一种新型筋膜平面阻滞技术,可用于脊柱外科手术的术中和术后疼痛治疗.随着超声技术的发展,ESPB操作更简单、安全,且镇痛效果确切,尤其对于脊柱外科术后镇痛有良好的应用前景.本文阐述了ESPB的解剖基础、作用机制和操作方法,归纳了其在脊柱外科手术中临床应用的现状,并对其成为脊柱外科术后多模式镇痛部分进行了展望.
Abstract
Spine surgery may lead to moderate to severe pain.Poorly controlled postoperative pain seri-ously affects the prognosis and recovery of patients.The erector spinae plane block(ESPB),firstly proposed in 2016 as a novel interfascial plane block,has been widely used in the management of intraoperative and postoper-ative pain in spine surgery.It has been confirmed as a safe,simple,and effective block.This review describes the anatomic basis,mechanism,and methods of ESPB,summarizes the clinical application of ESPB in spine surgery,and makes an outlook on the potential role of ESPB as a part in the multimodal management of postoper-ative pain in spine surgery.
关键词
脊柱外科手术/竖脊肌平面阻滞/术后镇痛Key words
spine surgery/erector spinae plane block/postoperative pain management引用本文复制引用
基金项目
中央高水平医院临床科研专项青年培优计划(2022-PUMCH-A-62)
出版年
2024
国家科技期刊平台
NSTL
万方数据