摘要
电视辅助胸腔镜手术(VATS)因缩短手术时间、提高患者耐受性以及改善患者术后康复等优势,目前已逐步成为肺切除的主要手术方式。然而,VATS肺切除手术术后镇痛方法的选择尚无统一标准。近年来,随着多模式镇痛的不断发展和应用,采用胸椎旁神经阻滞(TPVB)、胸段硬膜外阻滞(TEA)、肋间神经阻滞(INB)及竖脊肌平面阻滞(ESPB)等镇痛方法并联合各类镇静镇痛药物,可明显改善患者围术期镇痛效果、降低术后止痛药消耗、预防术后相关并发症。本文就右美托咪定(DEX)作为佐剂复合不同方法区域神经阻滞在VATS肺切除手术术后镇痛的最新进展作一综述,以便为其临床应用提供参考。
Video-assisted thoracic surgery(VATS)has gradually become the main surgical method for lung resection due to its advantages of shortening operation time,improving patient tolerance and improving postoperative rehabilitation.However,there is no uniform standard for the choice of postoperative analgesia after VATS pneumonectomy.In recent years,with the continuous development and application of multimodal analgesia,the use of thoracic paravertebral block(TPVB),thoracic epidural anesthesia(TEA),intercostal nerve block(INB)and erector spinae plane block(ESPB)and other analgesic methods combined with various sedative and analgesic drugs can significantly improve the perioperative analgesic effect of patients,reduce the consumption of postoperative analgesics,prevent postoperative complications.This article reviews the latest progress of dexmedetomidine(DEX)as an adjuvant combined with different methods of regional nerve block in postoperative analgesia after VATS pneumonectomy,in order to provide reference for its clinical application.
作者
覃禹翱
邹学军
QIN Yu'ao;ZOU Xuejun(Anesthesiology Department,Affiliated Renhe Hospital of China Three Gorges University,Yichang 443000,China)
出处
《临床医学研究与实践》
2024年第11期176-179,共4页
Clinical Research and Practice
基金
湖北省卫生健康委2019年度第三批联合基金立项项目(No.WJ2019H537)。
