超声引导下筋膜间隙阻滞在剖宫产术后镇痛中的应用研究进展

Recent advance in ultrasound-guided fascial space block in analgesia in patients after cesarean section

目前,随着超声技术的发展,超声引导下筋膜间隙阻滞如腹横肌平面阻滞、腰方肌阻滞等因能实时观察到针头位置和局麻药扩散情况,使得神经阻滞的准确性和成功率有了明显提高,已被广泛应用于剖宫产术后镇痛。笔者现围绕近年来这几种超声引导下筋膜间隙阻滞方法在剖宫产术后镇痛中的应用情况展开综述,以期为临床上进一步深入应用提供参考。

With the development of ultrasound technology,the needle position and local anesthetic diffusion can be observed in real time,and therefore,the accuracy and success rate of nerve block have been significantly improved.Ultrasound-guided fascial space block,such as transversus abdominis plane block and quadratus psoas block,has been widely used in postoperative analgesia in delivery woman.This paper reviews the application of ultrasound-guided fascial space block in postoperative analgesia of cesarean section in recent years,in order to provide reference for further clinical application.