摘要
腰方肌阻滞是将局麻药物注入到腰方肌邻近的筋膜间隙内,阻滞在其内行走的相关胸腰神经产生镇痛的神经阻滞方法。可为腹部、髋部、下肢等手术提供镇痛,在急慢性疼痛管理中亦有良好效果,还可缓解腹部内脏疼痛。本专家共识系统介绍了腰方肌阻滞的相关解剖特点、不同入路阻滞方法及阻滞范围、常用麻醉药物、并发症以及临床应用等,为其在临床的有效安全应用提供参考。
Quadratus lumborum block is a fascial plane block technique,by injecting local anesthetic into the fascial plane adjacent to the quadratus lumborum muscle,to block the thoracolumbar nerves.Quadratus lumborum block can provide analgesia for abdomen,hip,lower extremity and other operations,which has good effects in acute and chronic pain management,and may relieve abdominal visceral pain.This expert consensus offers a comprehensive overview of relevant anatomical characteristics,approaches and techniques with dermatomal coverage,common used local anesthetics,potential complications,and clinical evidence,to ensure effectiveness and safety in the clinical application.
作者
腰方肌阻滞疗法中国专家共识编写组
王小平
段彬
姚军
陈宇
蔡宇晶
冯霞
范坤
宫庆娟
郭海军
黄雪花
姜莹莹
李水清
李雅兰
廖琴
雷洪伊
马彬
马武华
马璐璐
马柯
舒海华
孙涛
徐世元
王锷
王亚平
王海棠
王勇
肖礼祖
余日丽
邹海盯
郑拥军
Quadratus Lumborum Block in China Consensus Writing Group;Wang Xiaoping;Duan Bin;Yao Jun;Chen Yu;Cai Yujing;Feng Xia;Fan Kun;Gong Qingjuan;Guo Haijun;Huang Xuehua;Jiang Yingying;Li Shuiqing;Li Yalan;Liao Qin;Lei Hongyi;Ma Bin;Ma Wuhua;Ma Lulu;Ma Ke;Shu Haihua;Sun Tao;Xu Shiyuan;Wang E;Wang Yaping;Wang Haitang;Wang Yong;Xiao Lizu;Yu Rili;Zou Haiding;Zheng Yongjun(不详;Department of Pain Management,The First Affiliated Hospital of Jinan University,Guangzhou City,Guangdong Province 510630,China;Department of Anesthesiology,Xiangya Hospital Central South University,Changsha City,Hunan Province 410008,China;Department of Anesthesiology,Shanghai Sixth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai City 200233,China;Department of Anesthesiology,First Affiliated Hospital of Sun Yat-Sen University,Guangzhou City,Guangdong Province 510080,China;Department of Anesthesiology,Guangdong Provincial People's Hospital,Guangzhou City,Guangdong Province 510080,China;Department of Pain Medicine,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou City,Guangdong Province 510260,China;Department of Nutrition and Lifestyle,The George Institute for Global Health(Australia)Beijing Representative Office,Beijing City 100060,China;Department of Pain Medicine,Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai City 200092,China;The National Center for Chronic and Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing City 100050,China;Department of Pain Management,Peking University Third Hospital,Beijing City 100191,China;Department of Anesthesiology,The First Affiliated Hospital of Jinan University,Guangzhou City,Guangdong Province 510630,China;Department of Anesthesiology,The Third Xiangya Hospital of Central South University,Changsha City,Hunan Province 410013,China;Department of Anesthesiology,Zhujiang Hospital of Southern Medical University,Guangzhou City,Guangdong Province 510282,China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou City,Gansu Province 730000,China;Department of Anesthesiology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou City,Guangdong Province 510140,China;Department of Anesthesiology,Peking Union Medical College Hospital,Beijing City 100730,China;Department of Pain Management,Shandong Provincial Hospital affiliated to Shandong First Medical University,Jinan City,Shandong Province 250021,China;Department of Pain Management,The Second Xiangya Hospital of Central South University,Changsha City,Hunan Province 410011,China;Department of Anesthesiology,Nanfang Hospital,Southern Medical University,Guangzhou City,Guangdong Province 510515,China;Department of Pain Medicine,Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen City 518052,China;Department of Anesthesiology,Second Xiangya Hospital of Central South University,Changsha City,Hunan Province 410011,China;Department of Pain Management,Huadong Hospital affiliated to Fudan University,Shanghai City 200040,China)
出处
《中华疼痛学杂志》
2024年第2期179-190,共12页
Chinese Journal Of Painology
关键词
神经传导阻滞
腰方肌阻滞
专家共识
Nerve block
Quadratus lumborum block
Expert consensus