超声引导腹横肌平面阻滞用于围术期镇痛的应用进展

Application of ultrasound guided transversus abdominis plane block in the perioperative analgesia

舒适医疗引起各界关注,围术期镇痛将成为其重要的组成部分之一,ASA和麻醉学分会的镇痛指南,均提倡多模式镇痛。腹横肌平面(TAP)阻滞被认为是目前围术期多模式镇痛的有效方法之一,可为外科手术围术期提供镇痛,并减少术后阿片类药物的用量及降低不良反应的发生率。通过文献检索和阅读,笔者综述TAP用于围术期镇痛中患者选择、局麻药选择及临床疗效相关因素,旨在为临床实践提供新的方法和思路。

Comfort medical treatment has aroused the attention of all walks of life. Perioperative an- algesia will be one of the important components. The analgesic guidelines of American Society of Anesthesi- ologists （ASA） and anesthesiology are all advocating multi mode analgesia. Transversus abdominis plane （TAP） block is considered to be one of the effective methods of muhimode analgesia in the perioperative pe- riod. It can provide analgesia for surgical perioperative period, reduce the dosage of opioid after operation and the incidence of adverse reactions. We review the relevant factors on patient selection, anesthetic sele- tion and clinical efficacy for TAP block by reviewed relative literatures, aiming to provide new methods and ideas for clinical practice. TAP block opens new ideas for perioperative analgesia, and it is a new direction of multimode analgesia during perioperative period.