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| 超声引导下区域神经阻滞在经皮肾镜碎石术后镇痛的研究进展 |
| Research progress of ultrasound-guided regional nerve block in percutaneous nephrolithotomy patients for postoperative analgesia |
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| DOI：10.12089/jca.2023.08.016 |
| 中文关键词: 区域神经阻滞 经皮肾镜碎石术 术后镇痛 |
| 英文关键词: Regional nerve block Percutaneous nephrolithotomy Postoperative analgesia |
| 基金项目:国家自然科学基金（81770824） |
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| 中文摘要: |
| 接受经皮肾镜碎石术的患者通常伴有中至重度的术后疼痛。超声引导下区域神经阻滞是一种安全有效的镇痛策略，在经皮肾镜碎石术中展现出了良好的应用前景，能够促进早期活动，加速术后康复。近年来，不同的区域神经阻滞方法相继报道，为经皮肾镜碎石术后疼痛控制提供了更多选择。本文就经皮肾镜碎石术后疼痛来源、不同神经阻滞的操作方法、应用效果和局限性进行综述，为临床应用提供参考。 |
| 英文摘要: |
| Percutaneous nephrolithotomy (PCNL) is often accompanied by moderate to severe postoperative pain. Ultrasound-guided regional nerve block is a safe and effective analgesic strategy showing great application prospect in PCNL, which can promote early mobilization and accelerate patient's post-operative recovery. Recently, different regional nerve block methods have been reported successively, providing more options for pain control in patients undergoing PCNL. This article reviews the sourses of postoperative pain after PCNL, the methods of performing regional nerve blocks under the guidance of ultrasound, and the effectiveness and limitations of their application, hoping to furnish a reference for clinical application． |
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