文章摘要
患儿髋部手术区域麻醉的研究进展
Research progress on regional anesthesia for pediatric hip surgery
  
DOI:10.12089/jca.2025.05.016
中文关键词: 区域麻醉  儿童  髋部  加速术后康复  镇痛
英文关键词: Regional anesthesia  Child  Hip  Enhanced recovery after surgery  Analgesia
基金项目:
作者单位E-mail
孙可 100035,首都医科大学附属北京积水潭医院麻醉科  
韩永正 北京大学第三医院麻醉科 hanyongzheng@bjmu.edu.cn 
郭向阳 北京大学第三医院麻醉科  
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中文摘要:
      患儿髋部手术通常需要全身麻醉,根据儿童加速术后康复理念,在全身麻醉基础上联合区域麻醉可有效缓解疼痛,有利于患儿术后康复。目前临床上有多种区域麻醉方法用于患儿髋部手术,超声引导技术保证其安全准确实施。患儿区域麻醉最常使用的是长效酰胺类局部麻醉药,但其作用时间较长,且有局部麻醉药全身毒性反应的发生风险。本文通过综述近年来患儿髋部手术区域麻醉的研究进展,为临床提供参考。
英文摘要:
      General anesthesia is usually used for pediatric hip surgery. According to the concept of enhanced recovery after surgery for children, general anesthesia combined with regional anesthesia can effectively alleviate the pain, which is benefit for postoperative recovery of children. There are various methods of regional anesthesia currently used in clinical practice for pediatric hip surgery. Regional anesthesia guided by ultrasound can ensure their safety and accuracy. The long-acting amide local anesthetic, most commonly used for children, which have not only a longer duration of analgesia but also a risk of local anesthetic systemic toxicity. This article reviews the research progress of regional anesthesia in pediatric hip surgery in recent years to guide clinical application
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