超声引导下胸椎旁神经阻滞在开胸手术中的临床应用研究进展

摘要

超声引导下胸椎旁神经阻滞是在超声直视下将局部麻醉药物注射进入胸椎旁间隙的一种区域阻滞技术.该文就开胸手术中,胸椎旁阻滞(TPVB)对血流动力学、芬太尼类药物用量、术后疼痛、炎性反应与应激反应、术后快速康复以及术后认知功能障碍(POCD)的发生等各个方面的影响进行综述.%The ultrasound-guided thoracic paravertebral nerve block is a regional block technique about injecting the local anesthetic in-to the thoracic paravertebral space under the ultrasound-guide.This article is a review about the influences of TPVB has on the hemody-namics,the dosage of fentanyl,the postoperative pain,the inflammatory response and stress response,the postoperative quick recovery and the postoperative cognitive dysfunction in the thoracotomy.