连续外周神经阻滞镇痛在非住院患者的应用
被引量:2
摘要
连续外周神经阻滞(CPNB)技术问世半个多世纪以来,被广泛应用于上下肢术后镇痛及其他急、慢性疼痛的治疗。便携式给药泵的出现,使CPNB用于非住院患者成为可能[1,2]。CPNB在外周神经周置管,通过导管连续给药镇痛。一般将置入神经鞘的导管连接于患者自控镇痛(PCA)泵给药,也可连接/持续经注射泵给药镇痛。
出处
《中国临床医生杂志》
2011年第10期26-28,共3页
Chinese Journal For Clinicians
参考文献20
-
1Buchanan D,Brown E,Millar F,et al.Outpatient continuous interscalene brachial plexus block in cancer related pain[J].Pain Symptom Manage,2009,38(4)∶629-634.
-
2Ogawa H,Yonezawa Y,Maki H,et al.A new infusion pathway intactness monitoring system[J].Conf Proc IEEE Eng Med Biol Soc,2006,1∶4999-5000.
-
3Ilfeld BM,Le LT,Ramjohn J,et al.The effects of local anesthetic concentration and dose on continuous infraclavicular nerve blocks:a multicenter,randomized,observer masked,controlled study[J].Anesth Analg,2009,108(1)∶345-350.
-
4Ilfeld BM,Loland VJ,Gerancher JC,et al.The effects of varying local anesthetic concentration and volume on continuous popliteal sciatic nerve blocks:a dual center,randomized,controlled study[J].Anesth Analg,2008,107(2)∶701-707.
-
5Ilfeld BM,Mariano ER,Afra R,et al.Continuous interscalene brachial plexus block via an ultrasound guided posterior approach:a randomized,triple masked,placebo controlled study[J].Anesth Analg,2009,108(5)∶1688-1694.
-
6马燕,李世忠.外周神经阻滞在下肢手术中的应用[J].中国临床医生杂志,2008,36(12):30-33. 被引量:6
-
7Ganesh A,Rose JB,Wells L,et al.Continuous peripheral nerve blockade for inpatient and outpatient postoperative analgesia in children[J].Anesth Analg,2007,105∶1234-1242.
-
8Ponde VC,Desai AP,Shah DM,et al.Feasibility and efficacy of placement of continuous sciatic perineural catheters solely under ultrasound guidance in children:a descriptive study[J].Paediatr Anaesth,2011,21(4)∶406-410.
-
9Hortense A,Perez MV,Amaral JL,et al.Interscalene brachial plexus block.Effects on pulmonary function[J].Rev Bras Anestesiol,2010,60(2)∶130-137.
-
10Zencirci B.Comparision of nerve stimulator and ultrasonography as the techniques applied for brachial plexus anesthesia[J].Int Arch Med,2011,4(1)∶4.
二级参考文献16
-
1焦小龙.持续胸膜外肋间神经阻滞用于开胸术后镇痛[J].国外医学(麻醉学与复苏分册),1996,17(3):177-178. 被引量:7
-
2Capdevila X, Macaire Ph, Dadure Ch, et al. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty : new landmarks, technical guidelines, and clinical evaluation [ J ] . Anesth Analg,2002,94: 1606 - 1613.
-
3Capdevila X, Biboulet Ph, Bouregba M, et al. Comparison of the three-in-one and fascia iliaca compartment blocks in adults:clinical and radiographic analysis [ J ]. Anesth Analg, 1998,86 : 1039 - 1044.
-
4Marhofer P, Nasel C, Sitzwohl C, et al. Magnetic resonance imaging of the distribution of local anaesthetic during the three-inone block[J]. Anesth Analg,2000,90:119 - 124.
-
5Casati A ,Fanelli G, Borghi B, et al. Ropicacaine or 2% mepivacaine for lower limb peripheral nerve blocks[ J]. Anesthesiology, 1999,90: 1047 - 1052.
-
6Helayel PE,da Conceicao DB, Pavei P, et al. Ultrasound-guided obturator nerve block : a preliminary report of a case series [ J ]. Reg Anesth Pain Med,2007,32: 221 - 226.
-
7Marhofer P, Schrogendorger K, Koinig H, et al. Ultrasonographic guidance improves sensory block and onset time of three-in-one blocks[J]. Anesth Analg,1997,85:854 -857.
-
8Singelyh FJ,Vanderelst PE, Gouverneur JMA. Extended femoral nerve sheath block after total hip arthroplasty: continuous versus patient-controlled techniques [ J ]. Anesth Analg, 2001,92 : 455 - 459.
-
9Chelly JE, Delaunay L. A new anterior approach to the sciatic nerve block[ J]. Anesthesiology, 1999,91 : 1655 - 1660.
-
10Chan VW, Nova H, Abbas S, et al. Ultrasound examination and localization of the sciatic nerve : a volunteer study[ J]. Anesthesiology ,2006,104:309 - 314.
共引文献11
-
1袁天柱,王奇,吉庆春,杨鲲鹏,黄壮士,李敏.椎旁间隙置管用于肺癌术后镇痛18例分析[J].中国肿瘤,2007,16(8):656-658.
-
2袁天柱,王奇,吉庆春,杨鲲鹏,黄壮士,李敏.椎旁间隙置管用于肺癌术后镇痛18例分析[J].柳州医学,2009,22(1):54-55.
-
3魏玉磊,石文君,崔玉环,陈刚.肋间神经冷冻镇痛在开胸术后镇痛中的应用[J].实用医学杂志,2009,25(19):3249-3251. 被引量:6
-
4胡虹云.一例剖腹产术后合并肋间神经炎患者的观察及护理[J].当代医学,2010,16(14):65-65.
-
5肖敬波,王胜斌,徐四七.罗哌卡因肋间神经阻滞用于胸科术后镇痛的临床观察[J].临床医学,2010,30(12):14-16. 被引量:15
-
6张新宇,匡正达,叶启彬,冯国辉,杜明奎,王冠军.术中椎旁肌封闭对控制腰椎手术后疼痛的疗效观察[J].武警后勤学院学报(医学版),2013,22(6):492-494. 被引量:5
-
7黄惠英,刘文领,陈振华,张艳.超声引导下肢神经阻滞在老年危重患者股骨头置换术中的效果观察[J].广西医学,2014,36(5):669-670. 被引量:8
-
8王敏,王迎光,黄伟文,谢林碧,彭丹丹,陈刚,农兰依,管小明,黄标,黄晓媚.高龄患者下肢手术行外周神经阻滞效果分析[J].中国医药科学,2014,4(16):155-157. 被引量:2
-
9王香梅,董雨.外周神经刺激器定位行腰丛复合坐骨神经阻滞麻醉在下肢手术中的效果观察[J].现代中西医结合杂志,2015,24(5):545-547. 被引量:13
-
10王凯,韩威利,孟瑞霞.超声引导的股神经阻滞复合右美托嘧啶在老年患者单侧膝关节清理手术中的应用[J].临床医药文献电子杂志,2015,2(5):882-883. 被引量:4
同被引文献10
-
1何文政,林成新,刘敬臣.喉罩通气在乳腺癌根治手术麻醉中的应用[J].广西医科大学学报,2010,27(5):721-722. 被引量:6
-
2Busch CA,shore BJ,Bhandari R,et al.Efficacy of periarticular multimodal,drug injection in total knee arthroplasty:a randomized trial[J].J Bone Joint surg Am,2006,88(5):959-963.
-
3Vendittoli PA,Malcinen P,Drolet P,et al.A multi modal analgesia protocol for total knee arthroplasty:a randomized,controlled study[J].J Bone Joint Surg Am,2006,88(2):282-289.
-
4Chelly JE.Peripheral Nerve Blocks:A Color Atlas[M].Lippincott Williams &Wilkins,2008.93-95.
-
5Dalens,Aalens B,Vanneuville G,et al.Comparison of the fascia iliaca block with the 3-in-1 block in children[J].Anesth Analg,1989,69(6):705-713.
-
6Dadure C,Raux O,Rochete A,et al.Interest of ultrasonographic guidance in paediatric regional anaesthesia[J].Ann Fr Anesth Reanim,2009,28(10):878-884.
-
7Wallace JB, Andrade JA, Christensen JP, et al. Comparison of fascia iliaca compartment block and 3 -in -1 block inadults under- going knee arthroscopy and meniscal repai[J]. AANA J, 2012, 80(4 Suppl) :S37-44.
-
8Dulaney-Cripe E, Hadaway S, Bauman R, et al. A continuous infusion fascia iliaca compartment block in hip fracture patients: a pilot study[J]. J Clin Med Res, 2011,4(1) :45-48.
-
9何爱忠.超声与神经刺激器定位在外周神经阻滞中的应用[J].中国临床医生杂志,2011,39(5):56-57. 被引量:6
-
10刘峰,王丽,边步荣.舒芬太尼复合地佐辛用于脊柱手术后静脉自控镇痛的临床观察[J].中国临床医生杂志,2012,40(11):45-47. 被引量:31
引证文献2
-
1赵俊峰,谭立明,于铭,李纯.超声引导下连续髂筋膜腔隙阻滞用于膝关节置换术后镇痛[J].中国医刊,2013,48(12):68-69. 被引量:11
-
2刘红,崔峰,张峰,李睿.髂筋膜腔隙阻滞对癌症患者全膝关节置换术麻醉临床应用研究[J].中华肿瘤防治杂志,2015,22(B11):210-211.
二级引证文献11
-
1胡小雪,金忆,许明岚.超声引导下连续股神经阻滞联合喉罩下全麻与硬膜外阻滞复合喉罩下全麻用于全膝关节置换术的效果比较[J].实用临床医药杂志,2014,18(21):64-66. 被引量:12
-
2刘红,刘耀森,于中军,戚学琴,王秋筠.连续髂筋膜神经阻滞超前镇痛与股神经阻滞麻醉的效果对比[J].西部医学,2015,27(5):677-679. 被引量:7
-
3迟晓慧,陈永学,白玉玮,王瑞,李东兴.静脉镇痛泵和股神经阻滞在膝关节置换术后应用的疗效研究[J].现代中西医结合杂志,2015,24(26):2954-2956. 被引量:14
-
4张丽,李泉,沈苓,林欣.超声引导下不同髂筋膜间隙阻滞穿刺对髋关节置换术后镇痛效果的对比研究[J].中国医学前沿杂志(电子版),2016,8(2):46-49. 被引量:7
-
5赵俊峰,谭立明.超声引导下髂筋膜阻滞对膝关节置换术后镇痛的影响[J].西南国防医药,2017,27(2):117-119. 被引量:6
-
6胡焱,蔡楠,刘雪冰,朱丰,张伟.超声引导无阻力法定位与神经刺激器引导定位连续颈椎旁阻滞用于术后镇痛的效果比较[J].中国医刊,2017,52(6):74-77. 被引量:4
-
7张廷玖,张东,曾凡伟,庾明,王枰稀.不同镇痛方法对人工全膝关节置换术后病人早期康复效果的影响[J].实用老年医学,2018,32(7):619-621. 被引量:15
-
8宋峰,钮峥嵘,杜晓宣.不同方式超声引导连续髂筋膜阻滞在髋关节置换术后镇痛效果[J].骨科,2018,9(2):136-140. 被引量:19
-
9林国锐.髂筋膜腔隙阻滞在人工股骨头置换术后早期镇痛的效果[J].中国伤残医学,2019,27(12):92-94. 被引量:2
-
10黄沾,王中胜,侯建平,张运琼,袁毅.超声引导下连续髂筋膜间隙阻滞联合单次坐骨神经阻滞用于老年全膝关节置换术后镇痛的效果[J].检验医学与临床,2019,16(18):2644-2647. 被引量:26
-
1朱松军.社区管理对糖尿病患者血糖控制的干预效果[J].中国医学创新,2012,9(5):118-119. 被引量:7
-
2王翠平,高晓燕,刘春云.门诊输液室护患纠纷发生原因及其防范措施[J].中国医疗前沿,2009,4(8):140-140.
-
3冯秀梅.门诊输液室老年患者的护理体会[J].山东医药,2010,50(17):65-65. 被引量:1
-
4卞春梅,许忠玲.外周神经阻滞和椎管内麻醉毒性反应的急救与护理[J].交通医学,2003,17(6):761-761.
-
5龚菊红.门诊输液室医患纠纷发生原因及其防范[J].社区卫生保健,2007,6(5):365-366.
-
6闻曲,成芳,鲍爱琴,刘为红,陈莎,桂琳君,徐文洁,姚巧莉.非住院患者PICC置管安全隐患及对策[J].护理实践与研究,2015,12(1):94-95. 被引量:5
-
7孙宏广,张树波.左布比卡因复合地佐辛外用于外周神经阻滞镇痛临床研究的文献综述[J].家庭心理医生,2015,11(4):254-255.
-
8孙蕾.腕部掌侧静脉输液的固定方法[J].中国社区医师(医学专业),2012,14(19):331-331. 被引量:1
-
9贺光辉.社区管理和综合干预对糖尿病患者的影响分析[J].中国医学创新,2010,7(34):162-163. 被引量:6
-
10张梅,黄雯,岳英,孟秀云.老年维持性血液透析患者住院原因及相关因素分析[J].中华保健医学杂志,2013,15(2):110-113. 被引量:3