颌面部神经阻滞在唇腭裂修复术围手术期的应用进展

背景 唇腭裂在小儿先天性疾病中占很高比列,小儿唇腭裂修复术围手术期的疼痛对喂养和伤口愈合有很大影响. 内容 总结分析颌面部神经阻滞对唇腭裂患儿围手术期镇痛、术后苏醒、颌面部神经阻滞相关并发症以及对术后应用镇痛药物各方面的影响. 目的 通过对小儿唇腭裂修复术围手术期颌面部神经阻滞镇痛方式、应用药物研究现状的总结归纳,探讨颌面部神经阻滞用于唇腭裂修复术围手术期的镇痛效果和副作用,为唇腭裂修复术围手术期镇痛提供有效的依据,完善小儿镇痛. 趋向 颌面部神经阻滞是唇腭裂修复术围手术期较为理想的一种镇痛方式,超声的引进使小儿术后镇痛得到进一步完善.但目前仍缺乏一种绝对满意、安全的颌面部神经阻滞方法,相关内容仍需进一步临床研究.

Research progress of facial nerve block on perioperative analgesia for cleft lip and palate repair surgery

Background Cleft lip and palate occupy a high proportion in congenital diseases.Pain of cleft lip and palate repair surgery gready influences feeding and wound healing during perioperation.Content This article present the effect of maxillofacial nerve block in cleft lip and palate repair surgery on perioperative analgesia,postoperative revival,relevant complications and postoperative analgesic.Objective By summarizing the studies of maxillofacial nerve block,discussing the positive effect and side effect of maxillofacial nerve blocking used for cleft lip and palate repair surgery,this review presents the effective proof of analgesia for cleft lip and palate repair surgery.Trend Maxillofacial nerve block is a relatively ideal way for cleft lip and palate repair surgery,especially after ultrasonic introduced,that the related complications was falling.At present,it is still lack of an absolutely satisfying and safe way for maxillofacial nerve block.So the related contents still need further clinical study.