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足踝手术后的腘窝坐骨神经阻滞:术后镇痛的辅助方法

Popliteal sciatic nerve blocks after foot and ankle surgery: an adjunct to postoperative analgesia.

作者信息

Mendicino Robert W, Statler Trenton K, Catanzariti Alan R

机构信息

Department of Surgery, The Western Pennsylvania Hospital, Pittsburgh 15224, USA.

出版信息

J Foot Ankle Surg. 2002 Sep-Oct;41(5):338-41. doi: 10.1016/s1067-2516(02)80055-2.

Abstract

The use of sciatic popliteal nerve blocks in conjunction with common peroneal and saphenous nerve blocks can provide prolonged hours of analgesia after foot and ankle surgery. This adjunct to analgesia allows for reduced amounts of postoperative opioids and the undesirable and adverse effects associated with these drugs. The peripheral blocks are technically easy to perform and offer the surgical patient many hours of pain relief. Furthermore, when utilized preoperatively, a lighter depth of anesthesia can be maintained with little demand for opioids so that the postoperative recovery will be accelerated with fewer complications.

摘要

在足踝手术后,将坐骨-腘窝神经阻滞与腓总神经和隐神经阻滞联合使用,可提供长时间的镇痛效果。这种镇痛辅助方法能够减少术后阿片类药物的用量以及与这些药物相关的不良和有害影响。外周神经阻滞在技术上易于实施,可为手术患者提供数小时的疼痛缓解。此外,术前使用时,可维持较浅的麻醉深度,对阿片类药物的需求很少,从而加速术后恢复,减少并发症。

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