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超声引导下区域神经阻滞在骨折手术麻醉管理中的应用

The Utilization of Ultrasound-Guided Regional Nerve Blocks in Anesthetic Management for Fracture Surgery.

作者信息

Yi Ruofan, Li Zeng, Yang Xingjun, Huang Ting, Liu Hongjun, Zhang Jun

机构信息

Department of Anesthesiology, The 955th Hospital of Chinese People's Liberation Army, Tibet, 854000, People's Republic of China.

Department of General Surgery, The 955th Hospital of Chinese People's Liberation Army, Tibet, 854000, People's Republic of China.

出版信息

J Pain Res. 2025 Jan 20;18:353-366. doi: 10.2147/JPR.S492151. eCollection 2025.

Abstract

Fracture surgeries are frequently accompanied by severe pain, necessitating efficacious pain management strategies to enhance postoperative recovery. Nerve block techniques, which are critical in mitigating pain, involve the targeted administration of local anesthetics to disrupt nerve signal transmission, thereby achieving significant analgesia. Traditionally, these techniques rely on anatomical landmarks and the clinician's expertise, which can introduce variability and potential risks. The adoption of ultrasound-guided nerve blocks has increased, facilitated by advancements in imaging technology. This approach enables precise placement of anesthetics through real-time visualization of neural structures and adjacent tissues, significantly improving the accuracy and safety of the procedure. This review summarizes recent advancements in the application of ultrasound-guided nerve block techniques in fracture surgeries, particularly for rib, upper limb, thoracic, lumbar, and hip fractures. By precisely placing local anesthetics, these techniques not only improve the safety and efficiency of surgeries but also significantly reduce postoperative pain and recovery time. The widespread application of ultrasound-guided nerve blocks offers an efficient and low-side-effect anesthesia management strategy, enhancing post-surgical patient experience and recovery quality.

摘要

骨折手术常常伴随着剧痛,因此需要有效的疼痛管理策略来促进术后恢复。神经阻滞技术在减轻疼痛方面至关重要,它涉及有针对性地注射局部麻醉剂以中断神经信号传递,从而实现显著的镇痛效果。传统上,这些技术依赖解剖标志和临床医生的专业知识,这可能会带来变异性和潜在风险。随着成像技术的进步,超声引导下神经阻滞的应用有所增加。这种方法能够通过实时可视化神经结构和相邻组织来精确注射麻醉剂,显著提高了该操作的准确性和安全性。本综述总结了超声引导下神经阻滞技术在骨折手术中的最新进展,特别是在肋骨、上肢、胸椎、腰椎和髋部骨折手术中的应用。通过精确注射局部麻醉剂,这些技术不仅提高了手术的安全性和效率,还显著减轻了术后疼痛并缩短了恢复时间。超声引导下神经阻滞的广泛应用提供了一种高效且副作用小的麻醉管理策略,提升了术后患者的体验和恢复质量。

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