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外周神经阻滞后反跳痛的研究进展
引用本文:郭嘉,刘余钱,李欣舫,王迎斌,曹淑梅. 外周神经阻滞后反跳痛的研究进展[J]. 临床麻醉学杂志, 2023, 39(10): 1093-1097
作者姓名:郭嘉  刘余钱  李欣舫  王迎斌  曹淑梅
作者单位:730000,兰州大学第二医院麻醉科(现在西安市第一医院麻醉科)
基金项目:甘肃省自然科学基金(22JR5RA976)
摘    要:外周神经阻滞后反跳痛是指阻滞效果消退后出现的中至重度疼痛,在临床患者中发生率很高且易被忽视,容易导致阿片类药物消耗量增加、恢复延迟等不良后果。目前临床上尚缺乏统一的诊断标准,其机制及防治策略尚未完全明确。因此,本文就外周神经阻滞后反跳痛的定义、病理机制、相关危险因素及防治措施的研究现状进行综述,旨在为临床解决此类问题提供参考。

关 键 词:外周神经阻滞;反跳痛;术后镇痛

Research progress of rebound pain after peripheral nerve block
GUO Ji,LIU Yuqian,LI Xinfang,WANG Yingbin,CAO Shumei. Research progress of rebound pain after peripheral nerve block[J]. The Journal of Clinical Anesthesiology, 2023, 39(10): 1093-1097
Authors:GUO Ji  LIU Yuqian  LI Xinfang  WANG Yingbin  CAO Shumei
Affiliation:Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou 730000, China
Abstract:Rebound pain after peripheral nerve block refers to moderate to severe pain when peripheral nerve block wears off. It has a high incidence in clinical patients and is easy to be ignored, which can easily lead to increased opioid consumption, delayed recovery and other adverse consequences. At present, there is a lack of unified diagnostic criteria in clinical practice, and its mechanism and prevention and treatment strategies have not been fully defined. Therefore, this article reviews the definition, pathological mechanism, related risk factors and prevention and treatment of rebound pain after peripheral nerve block in order to provide reference for clinical solution of such problems.
Keywords:Peripheral nerve block   Rebound pain   Postoperative analgesia
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