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| 超声引导下神经阻滞在肩关节镜手术中的应用进展 |
| Advances in ultrasound-guided nerve block for arthroscopic shoulder surgery |
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| DOI：10.12089/jca.2021.11.020 |
| 中文关键词: 神经阻滞 超声引导 肩关节镜手术 |
| 英文关键词: Nerve block Ultrasound-guided Arthroscopic shoulder surgery |
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| 中文摘要: |
| 肩关节镜手术常伴有严重的术后肿胀疼痛。超声引导下神经阻滞技术能够提供安全有效的镇痛，同时可以辅助术中控制性降压，并且在促进患者早期功能锻炼、实现加速康复外科（ERAS）方面具有重大意义，目前在肩关节镜手术中表现出极大的优势及应用前景。近年来，不同入路的阻滞方法相继报道，为临床应用提供了更多的选择。全文主要描述了肩关节的神经支配、超声引导下不同神经阻滞的操作方法，以期为肩关节镜手术临床麻醉方式的选择提供参考。 |
| 英文摘要: |
| Arthroscopic shoulder surgery is often accompanied by severe postoperative swelling and pain. Ultrasound-guided nerve block technology can provide safe and effective analgesia and assist in intraoperative controlled hypotension, and is of great significance in promoting early functional exercise and realizing enhanced recovery after surgery (ERAS). At present, it shows great advantages and application prospect in arthroscopic shoulder surgery. In recent years, the blocking methods of different approaches have been reported, providing more options for clinical application. This paper mainly describes the innervation of shoulder joint and the operation methods of different nerve blocks under the guidance of ultrasound, in order to provide reference for the selection of clinical anesthesia methods of shoulder arthroscopy. |
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