摘要
桡神经阻滞可为手部提供麻醉和/或镇痛,尤其是桡侧背侧,其中包括拇指、食指和中指的背侧以及无名指的内侧麻醉。它可作为手和手指干预的独立或辅助疗法,缓解涉及桡神经分布的急性疼痛,诊断和治疗桡管综合征,以及桡神经损伤情况下的诊断预后程序。为促进我国桡神经阻滞疗法的规范化,提高相关性急慢性疼痛的治愈率和缓解率,本团队搜集、整理了大量国内外近年来相关文献,结合临床实际应用情况,制定了桡神经阻滞专家共识。本共识包括桡神经的解剖与分布,桡神经分布区域疼痛相关性疾病的病理生理学基础、临床及影像学诊断标准、适应证和禁忌证、常用药物、操作方法、术后并发症、效果评定及注意事项等。
Radial nerve block provides anesthesia and/or analgesia for the hand,especially the dorsal radial side,including the dorsal side of the thumb,index and middle fingers,as well as the lateral anaesthesia of the ring finger.Radial nerve block can be an independent or adjunct therapy for hand and finger interventions,relief of acute pain in radial nerve distribution,diagnosis and treatment of radial canal syndrome,and diagnostic prognostic procedures in radial nerve injury.In order to promote the standardization of radial nerve block therapy in China and improve the cure rate and remission rate of associated acute and chronic pain,the experts,based on relevant literatures at home and abroad in recent years and clinical practical application,compiled this expert consensus of radial nerve block.This consensus includes the following parts:basic anatomy and pathophysiology,clinical and imaging diagnostic criteria,indications and contraindications,commonly used medications,operation methods,postoperative complications,effect evaluation and precautions.
作者
桡神经阻滞疗法专家共识编写专家组
中华疼痛学杂志编辑委员会
姚军
Expert Consensus Compilation Group of Radial Nerve Block Therapy;Editorial Board of Chinese Journal of Painology;Yao Jun(不详;Department of Painology,Affiliated Hospital of Hebei University,Baoding City,Hebei Province 071000,China)
出处
《中华疼痛学杂志》
2025年第1期25-40,共16页
Chinese Journal Of Painology
关键词
桡神经
神经阻滞治疗
疼痛管理
Radial nerve
Nerve block therapy
Pain management