超声引导下竖脊肌平面阻滞的临床应用进展

Jiao Wang, Mingxin Xu
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摘要

超声引导下勃起棘平面阻滞(ESPB)是一种新型的界面平面阻滞,可用于胸腰段手术后镇痛。它具有操作简单安全、效果可靠、并发症少等优点,自2016年以来受到越来越多的关注。本文介绍了超声引导下ESPB的解剖学基础,阐述了ESPB的作用机制,总结了ESPB在胸、腹、腰外科的临床应用,总结了其优缺点及其并发症,并与其他常用的胸腰椎镇痛阻滞方法进行了比较。超声引导下ESPB具有并发症少、禁忌证少等优点,可广泛应用于麻醉和疼痛领域,提高麻醉效果和安全性。本综述旨在探讨ESPB的临床研究和未来发展,为更好的临床应用提供依据。关键词:勃起棘平面阻滞;超声引导;术后镇痛
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Recent progresses in the clinical application of ultrasound-guided erector spinae plane block
Ultrasound-guided erector spinae plane block (ESPB) is a novel interfacial plane block that can be used to relieve pain after thoracolumbar surgery. It is advantageous in simple and safe procedures, reliable effects and fewer complications and has been drawn increasing attention since 2016. This review introduces the anatomical basis of ultrasound-guided ESPB, expounds the mechanism by which ESPB works, summarizes the clinical application of ESPB in thoracic, abdominal and lumbar surgery, concludes the advantages and disadvantages of ESPB and its complications, and compares ESPB with other commonly thoracolumbar analgesic block methods. With respect to its advantages, few complications and contraindications, ultrasound-guided ESPB can be widely applied in the field of anesthesia and pain, and improve the effect and safety of anesthesia. This review aims to explore the clinical research and future development of ESPB, providing evidence for better clinical application. Key words: Erector spinae plane block; Ultrasound guidance; Postoperative analgesia
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