摘要
脊柱外科手术会产生中度至重度疼痛,而疼痛控制不佳会严重影响患者预后及康复。竖脊肌平面阻滞(ESPB)是2016年首次提出的一种新型筋膜平面阻滞技术,可用于脊柱外科手术的术中和术后疼痛治疗。随着超声技术的发展,ESPB操作更简单、安全,且镇痛效果确切,尤其对于脊柱外科术后镇痛有良好的应用前景。本文阐述了ESPB的解剖基础、作用机制和操作方法,归纳了其在脊柱外科手术中临床应用的现状,并对其成为脊柱外科术后多模式镇痛部分进行了展望。
Spine surgery may lead to moderate to severe pain.Poorly controlled postoperative pain seriously affects the prognosis and recovery of patients.The erector spinae plane block(ESPB),firstly proposed in 2016 as a novel interfascial plane block,has been widely used in the management of intraoperative and postoperative pain in spine surgery.It has been confirmed as a safe,simple,and effective block.This review describes the anatomic basis,mechanism,and methods of ESPB,summarizes the clinical application of ESPB in spine surgery,and makes an outlook on the potential role of ESPB as a part in the multimodal management of postoperative pain in spine surgery.
作者
徐慧
马璐璐
XU Hui;MA Lulu(Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2024年第4期560-564,共5页
Acta Academiae Medicinae Sinicae
基金
中央高水平医院临床科研专项青年培优计划(2022-PUMCH-A-62)。
关键词
脊柱外科手术
竖脊肌平面阻滞
术后镇痛
spine surgery
erector spinae plane block
postoperative pain management
