摘要
喉上神经内支分布于咽、会厌、舌根以及声门裂以上黏膜,支配声门以上咽喉部黏膜的感觉,阻滞喉上神经内支,可达到麻醉舌根、会厌及声门裂以上喉黏膜的目的,与传统穿刺法相比,超声引导下神经阻滞安全性高,效果确切,已广泛应用于多种检查与治疗中,但其要求操作者有较高水平的临床操作技能,若阻滞不完善,同样会带来风险。文章就喉上神经内支阻滞的方法、目前在临床上的应用及其可能出现的并发症和相关注意事项作一综述,为实施更加安全有效的镇痛提供依据。
The internal branches of superior laryngeal nerve is distributed to the mucous membrane ofthe pharynx,epiglottis,base of the tongue and vocal cords.To Block the internal laryngeal nerve is able to anesthetize the mucous membrane of the pharynx,epiglottis,base of the tongue and vocal cords.In contrast to conventional paracentesis,nerve block with medical ultrasound is safer and clinically proven effective.And it is widely used in many inspectations and treatments.However,it requires the operator to have professional and mature clinical skills.If the operation of nerve block is not entirely successful,then it will come with risks.This article talks about the methods,clinical applications,the possible complications and relevant precautions of the nerve block with medical ultrasound,so as to provide a basis for safer and effective analgesia.
作者
陈怡
蒋朝阳
CHEN Yi;JIANG Zhaoyang(School of Clinical Medicine,Jishou University School of Medicine,Jishou Hu’nan 416000,China;Department of Intensive Care Unit,The Fourth Affiliated Hospital of Jishou University/Huaihua First People's Hospital,Huaihua Hu’nan 418000,China)
出处
《中国继续医学教育》
2019年第35期125-127,共3页
China Continuing Medical Education
关键词
喉上神经内支阻滞
气管插管
喉镜
应激反应
联合麻醉
咽喉痛
superior laryngeal nerve internal branch block
tracheal intubation
laryngoscope
stress response
combined anesthesia
sore throat
