超声引导下小剂量局麻药外周神经阻滞现状

发布时间：2018-01-19 20:37

本文关键词： 外周神经阻滞超声探头镇痛持续时间阻滞起效时间神经丛维持时间阻滞效果神经束膜神经外膜肩部手术 　出处：《临床麻醉学杂志》2017年08期 　论文类型：期刊论文

【摘要】：正外周神经阻滞能够为患者提供良好的术后镇痛,并减少全麻相关不良反应~([1])。成功的神经阻滞必须满足两个条件:(1)感觉、运动阻滞起效时间短,效果完善,以满足手术需求;术后镇痛持续时间长;(2)神经阻滞相关并发症及局麻药不良反应少。近年来,超声引导神经阻滞广泛应用于临床,麻醉医师可通过超声观察神经及其周围结构,实施靶向穿刺且实时观察局麻药注射过程,保证局麻药均匀扩散到神经周围,使神经阻滞达到更满意的效果,相关并发症也明显减少。
[Abstract]:Is the peripheral nerve block can provide good analgesia for patients after operation, and reduce the adverse reaction of general anesthesia ~ ([1]). The success of the nerve block must meet two conditions: (1) sensory, motor block onset time is short, effective, in order to meet the needs of the operation; postoperative analgesia lasted for a long time; (2) nerve block related complications and adverse reaction of drug Bureau less. In recent years, ultrasound guided nerve block is widely used in clinical, anesthesiologists can to observe the nerve and its surrounding structure, the implementation of targeted biopsy and real time injection of local anesthetics, local anesthetics to ensure uniform diffusion around the nerve, the nerve block to achieve more satisfactory results. Related complications were also significantly reduced.

【作者单位】：南京医科大学附属南京医院
【基金】：2014年省级条件建设与民生科技专项资金(第三批)(BL2014012)
【分类号】：R614
【正文快照】： 红)(1)感觉、运动阻滞起效时间短,效果完善,以满足手术需求;术后镇痛持续时间长;(2)神经阻滞相关并发症及局麻药不良反应少。近年来,超声引导神经阻滞广泛应用于临床,麻醉医师可通过超声观察神经及其周围结构,实施靶向穿刺且实时观察局麻药注射过程,保证局麻药均匀扩散到神经

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