摘要
肩关节镜手术(arthroscopic shoulder surgery,ASS)因其相较于传统肩部手术有更多的优势,近些年来在临床上的应用已经越来越广泛。肩关节镜手术的麻醉方法与术后镇痛方式有多种选择,包括全身麻醉、肌间沟臂丛神经阻滞、单独或联合周围神经阻滞以及互相组合运用等。各种术中麻醉与术后镇痛方式有各自的优劣势。肩胛上神经阻滞(suprascapular nerve block,SSB)具有良好的镇痛效果并且不影响膈肌功能,成为近几年来研究的热点,但其阻滞效果是否能满足肩关节镜手术及术后镇痛的要求尚存在争议。
Because of its advantages compared with traditional shoulder surgery, arthroscopic shoulder surgery (ASS) has become more and more widely applied in clinical practice over the years. There are many options for anesthesia and postoperative analgesia in shoulder arthroscopy, including general anesthesia, intermuscular brachial plexus block, alone or in combination with peripheral nerve block and combined use. Each intraoperative anesthesia and postoperative analgesia has their own advantages and disadvantages. The suprascapular nerve block (SSB) has good analgesic effect and does not affect the diaphragm function. It has become a research hotspot in recent years. However, whether the blocking effect can meet the requirements of shoulder arthroscopy and postoperative analgesia is still controversial.
作者
刘杰
崔晓光
LIU Jie;CUI Xiaoguang(Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150006, China)
出处
《临床与病理杂志》
2019年第6期1367-1371,共5页
Journal of Clinical and Pathological Research
基金
国家自然科学基金青年基金(81500074)~~
关键词
肩胛上神经阻滞
肩关节镜手术
联合周围神经阻滞
suprascapular nerve block
arthroscopic shoulder surgery
combined peripheral nerve block
