超声引导下竖脊肌平面阻滞临床应用及研究进展

Recent progresses in the clinical application of ultrasound-guided erector spinae plane block

超声引导下竖脊肌平面阻滞(erector spinae plane block,ESPB)是一项新颖的筋膜间隙阻滞技术,可以应用于胸腰部手术后镇痛,具有操作简单安全、镇痛可靠、并发症少等诸多优点。ESPB自2016年提出以来,得到广泛关注。文章介绍了超声引导下ESPB的解剖基础,阐述了ESPB起效的理论学说,归纳了ESPB在胸腹部及腰椎等手术的临床应用,总结了ESPB的优缺点及并发症,并将ESPB与胸腰部其他常用镇痛阻滞方法进行对比,分析了各自的特点。超声引导下ESPB具有诸多的优点、极少的并发症及禁忌证,在麻醉和疼痛领域存在广阔的应用空间,能提高麻醉效果和麻醉安全性。文章旨在探究ESPB的临床研究及未来发展方向,为其临床应用提供依据。

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.