超声引导下神经阻滞在妇产科经腹手术中的应用进展

女性对疼痛敏感程度较高,加之经腹手术创伤较大,多数患者在一些妇产科手术术后会经历中度至重度的疼痛,因此对镇痛的要求较高。神经阻滞可阻断源自损伤处的伤害性刺激,被广泛应用于各类手术的辅助麻醉及围术期的镇痛,以减轻患者术后疼痛,减少阿片类药物用量。近年来,随着超声技术的不断发展,神经阻滞的可靠性及安全性得到了极大提升。因此,本文综述了妇产科手术中较为常见的超声引导下神经阻滞方式,并简述它们的阻滞方法、应用进展等,提供相关参考和依据。

Application progress of ultrasound-guided nerve block in obstetrics andgynecology open surgeries

Women are more sensitive to pain, and the traumaof open surgery is big. Most patients will experience moderate to severe painafter some obstetrics and gynecology surgeries, so the demand for analgesia ishigh. Nerve block can block the injurious stimulus from the injury site, and iswidely used in auxiliary anesthesia and perioperative analgesia in variousoperations to relieve postoperative pain and reduce the amount of opioids. Inrecent years, with the continuous development of ultrasound technology, thereliability and safety of nerve block have been greatly improved. Therefore,this paper reviews the common ultrasound-guided nerve block methods inobstetrics and gynecology surgeries, and briefly describes their blockingmethods and application progress, so as to provide relevant references andbasis.