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| 超声引导下髋关节囊周围神经阻滞的研究进展 |
| Research progress of ultrasound-uided pericapsular nerve group block |
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| DOI：10.12089/jca.2022.08.018 |
| 中文关键词: 髋部骨折 关节囊 神经阻滞 镇痛 |
| 英文关键词: Hip fracture Joint capsule Nerve block Analgesia |
| 基金项目:国家自然科学基金（81860233）；甘肃省自然科学基金（21JR7RA621） |
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| 中文摘要: |
| 在髋部骨折围术期提高区域阻滞镇痛效果较为困难，以往多采用腰丛、髂筋膜间隙、“三合一”或股神经阻滞，但对关节囊附近的镇痛效果较差。与上述技术不同，髋关节囊周围神经（PENG）阻滞是一项针对关节前囊感觉神经阻滞的新技术，能为髋部骨折提供有效镇痛，同时基本不影响股四头肌肌力，极大保留了下肢运动功能，有效降低围术期并发症，利于早期康复。随着研究不断深入，PENG阻滞在髋关节和下肢手术及急慢性疼痛诊疗中的应用潜力巨大。本文就超声引导下PENG阻滞的方法、对比和联合常规阻滞技术以及在临床应用中的最新研究进展予以综述，以期为临床实践提供参考。 |
| 英文摘要: |
| It is difficult to improve analgesic effect of regional block analgesia in perioperative period of hip fracture. In the past, lumbar plexus block, fascia iliaca compartment block, “three-in-one” block or femoral nerve block were mostly used. However, the analgesic effect of near the joint capsule was poor. Different from the techniques described above, pericapsular nerve group (PENG) block is a new technique for anterior capsular sensory nerve block of the hip joint, which can provide effective analgesia for hip fracture without affecting the quadriceps muscle strength. It can greatly preserve the motor function of the lower extremity, effectively reduce perioperative complications and facilitate early rehabilitation. As research continues, the application of PENG block in hip joint and lower extremity surgery, as well as in the diagnosis and treatment of acute and chronic pain, has great potential. This paper reviews the operation methods of ultrasound-uided PENG block, its comparison with the combination with conventional block techniques, and recent research progress in clinical application, in order to provide reference for clinical practice. |
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