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实用经竖脊肌平面阻滞治疗胸背带状疱疹疼痛 To treat the pain of herpes zoster on the chest and back by vertical spinal muscle plane block
竖脊肌平面阻滞的优点就是操作简单且安全，镇痛效果明确，超声下横突及肌肉间隙图像容易识别，与硬膜外镇痛相比：无气胸、硬膜外血肿、脊髓损伤等风险，对凝血功能要求较小，对循环和呼吸功能影响少；与椎旁神经阻滞技术相比：置管容易，无神经损伤、全脊麻等风险；与肋间神经阻滞相比：作用时间长，作用范围广；与镇痛药物相比：无呼吸抑制、恶心呕吐、成瘾、耐药等不良反应。竖脊肌平面阻滞留置导管能够延长镇痛时间，应用于慢性神经病理性疼痛以及开胸术后急性或创伤性疼痛。 The advantages of vertical spinal muscle planar block are simple and safe operation, clear analgesic effect and easy recognition of transverse process and muscle space images under ultrasound.Compared with epidural analgesia: no risk of pneumothorax, epidural hematoma, spinal cord injury, etc.Compared with the technique of paravertebral nerve block: easy catheterization, no risk of nerve injury, total spinal anesthesia, etc.Compared with intercostal nerve block: the action time is long and the range is wide;Compared with analgesic drugs: no respiratory inhibition, nausea and vomiting, addiction, drug resistance and other adverse reactions.Pedicle spinal muscle plane block and indwelling catheter can prolong the analgesia time and be applied to chronic neuropathic pain and acute or traumatic pain after thoracotomy. |
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