临床外科杂志 ›› 2024, Vol. 32 ›› Issue (6): 667-670.doi: 10.3969/j.issn.1005-6483.2024.06.030

• 综述与讲座 • 上一篇    下一篇

差异性神经阻滞在术后镇痛中的应用

程智怡 王爱忠   

  1. 200233 上海交通大学附属第六人民医院麻醉科
  • 收稿日期:2024-05-13 出版日期:2024-06-20 发布日期:2024-06-20

Application of differential nerve blocks in postoperative analgesia

CHENG Zhiyi,WANG Aizhong   

  1. Department of Anesthesiology,Shanghai Jiao Tong University Affiliated Sixth people’s hospital,Shanghai 200233,China
  • Received:2024-05-13 Online:2024-06-20 Published:2024-06-20

摘要: 超声引导下区域阻滞是多模式镇痛方案中关键的一部分。差异性神经阻滞是指选择性阻滞一种神经纤维,而不阻滞其他类型的神经纤维,包括药理学方法和解剖学方法,目的是既能达到足够的镇痛效果,又能减少或避免对运动功能的阻滞。我们将从局麻药(种类和浓度)和阻滞位置两方面,对差异性神经阻滞在术后镇痛中的应用进行综述。

关键词: 差异性神经阻滞;术后镇痛;多模式镇痛

Abstract: The ultrasound-guided regional block is a critical part of multimodal analgesia.Differential nerve block refers to the selective blocking of one nerve fiber without blocking other types of nerve fibers,including pharmacological and anatomical methods,with the aim of achieving adequate analgesia and reducing or avoiding blockade of motor function.With the development of day surgery in China,we will summarize the application of differential nerve block in postoperative analgesia from two aspects:local anesthetic (type and concentration) and block location.

Key words: differential nerve block;postoperative analgesia;multimodal analgesia

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