超声引导下竖脊肌平面阻滞在临床应用中的研究进展

Research progress of the clinical application of ultrasound-guided erector spinae plane block

术后疼痛是影响胸腹部外科手术患者术后快速康复的主要原因,传统的胸腹部外科手术术后镇痛以硬膜外镇痛和静脉镇痛为主。随着超声可视化技术的不断进步,超声引导下椎旁神经阻滞、超声引导下竖脊肌平面阻滞等技术为胸腹部手术患者术后镇痛提供了新的途径。与椎旁阻滞镇痛和硬膜外镇痛比较,超声引导下竖脊肌平面阻滞具有更低的气胸及脊髓损伤风险,更易于初学者掌握。本文就近几年来竖脊肌平面阻滞在临床中的应用的最新进展做以下综述,为临床实践提供参考。

Postoperative pain is the main factor affecting the rapid postoperative recovery of patients undergoing thoraco-abdominal surgery. The postoperative analgesia of traditional thoraco-abdominal surgery mainly consists of epidural analgesia and intravenous analgesia. With the continuous progress of ultrasound visualization technology,ultrasound guided paravertebral nerve block and erector spinae plane block provide new approaches for postoperative analgesia in patients undergoing thoraco-abdominal surgery. Compared with paravertebral nerve block analgesia and epidural analgesia,ultrasound-guided erector spinae plane block has a lower risk of pneumothorax and spinal cord injury,and it is easier for beginners to master. In the paper,the latest advances in the clinical application of ultrasound-guided erector spinae plane block in recent years are reviewed in order to provide reference for clinical practice.