肩胛上神经阻滞在肩关节镜手术中的应用进展
| 作者: |
1刘杰,
1崔晓光
1 哈尔滨医科大学附属第二医院麻醉科，哈尔滨 150006 |
| 通讯: |
崔晓光
Email: cuixiaoguang1018@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.06.036 |
| 基金: | 国家自然科学基金青年基金 (81500074)。 |
摘要
肩关节镜手术(arthroscopic shoulder surgery，ASS)因其相较于传统肩部手术有更多的优势，近些年来在临床上的应用已经越来越广泛。肩关节镜手术的麻醉方法与术后镇痛方式有多种选择，包括全身麻醉、肌间沟臂丛神经阻滞、单独或联合周围神经阻滞以及互相组合运用等。各种术中麻醉与术后镇痛方式有各自的优劣势。肩胛上神经阻滞(suprascapular ner ve block，SSB)具有良好的镇痛效果并且不影响膈肌功能，成为近几年来研究的热点，但其阻滞效果是否能满足肩关节镜手术及术后镇痛的要求尚存在争议。
关键词：
肩胛上神经阻滞；肩关节镜手术；联合周围神经阻滞
Application progress in suprascapular nerve block in shoulder arthroscopy
CorrespondingAuthor: CUI Xiaoguang Email: cuixiaoguang1018@126.com
DOI: 10.3978/j.issn.2095-6959.2019.06.036
Foundation: This work was supported by the National Natural Science Foundation for Distinguished Young Scholars of China (81500074).
Abstract
Because of its advantages compared with traditional shoulder surgery, arthroscopic shoulder surgery (ASS) has become more and more widely applied in clinical practice over the years. There are many options for anesthesia and postoperative analgesia in shoulder arthroscopy, including general anesthesia, intermuscular brachial plexus block, alone or in combination with peripheral nerve block and combined use. Each intraoperative anesthesia and postoperative analgesia has their own advantages and disadvantages. The suprascapular nerve block (SSB) has good analgesic effect and does not affect the diaphragm function. It has become a research hotspot in recent years. However, whether the blocking effect can meet the requirements of shoulder arthroscopy and postoperative analgesia is still controversial.
Keywords：
suprascapular nerve block; arthroscopic shoulder surgery; combined peripheral nerve block