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超声引导下腹横肌平面阻滞在腹部术后镇痛中的应用研究进展

发布时间:2019-08-08 08:31
【摘要】:腹横肌平面阻滞(TAPB)可减轻腹部手术患者的术后疼痛,减少阿片类药物的使用,在临床上可广泛应用于肝脏、胆管、胃肠道以及盆腔等腹部手术后的辅助镇痛。传统的TAPB依靠对神经走行解剖特点和体表定位标志来进行,对个人操作经验要求很高,成功率受到严重限制。而超声辅助技术引入后,对提高TAPB的准确性和安全性具有很大的帮助,操作者训练周期大大缩短,准确率也有显著提高。
[Abstract]:Horizontal abdominal muscle block (TAPB) can relieve postoperative pain and reduce the use of opioids in patients undergoing abdominal surgery. It can be widely used in liver, bile duct, gastrointestinal tract and pelvic abdominal surgery to assist analgesia. The traditional TAPB relies on the anatomical characteristics of nerve walking and body surface localization marks, which requires high personal operation experience and severely limits the success rate. After the introduction of ultrasonic assisted technology, it is of great help to improve the accuracy and safety of TAPB, the training cycle of operators is greatly shortened, and the accuracy is also significantly improved.
【作者单位】: 重庆医科大学附属儿童医院麻醉科儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室重庆市儿童发育重大疾病诊治与预防国际科技合作基地;
【分类号】:R614.4;R445.1


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