肾移植术后镇痛新进展

New progress in postoperative analgesia after renal transplantation

据统计中国已成为仅次于美国的第二移植大国。肾移植术后疼痛可导致多种并发症的发生,影响患者术后转归,甚至影响手术的成功与否。随着科学与技术的进步,术后镇痛模式有了新的进展,区域阻滞技术可减少镇痛药物全身应用的副作用;鞘内注射可避免椎管内镇痛的并发症。区域阻滞技术包括腰方肌阻滞、竖脊肌阻滞、腹横肌阻滞。因此,本文将对肾移植术后镇痛的模式进行阐述,以期对更完善的术后管理和高质量的镇痛提供帮助。

According to statistics,China has become the second largest transplant country after the United States.Pain after renal transplantation can lead to a variety of complications,which would affect the postoperative outcome of patients and even affect the success of the operation.With the progress of science and technology,new progress has been made in the modes of postoperative analgesia.Regional block techniques can reduce the side effects brought by systemic application of analgesics.Intrathecal injection can avoid the complications of intraspinal analgesia.Regional block techniques include quadratus lumborum block,erector spinae block and transversus abdominis block.Therefore,this paper will describe the modes of postoperative analgesia after renal transplantation,with a view to providing help for better postoperative management and high-quality analgesia.