超声引导下的骶骨竖脊肌阻滞的临床应用进展
Clinical Application Progress of Ultrasound-Guided Sacral Erector Spinae Plane Block
DOI: 10.12677/acm.2025.153747, PDF,   
作者: 谭伟臻, 陈欣悦, 臧梦璇:青岛大学附属医院麻醉科,山东 青岛;宋海成, 任悦义*:青岛大学附属妇女儿童医院心脏中心,山东 青岛
关键词: 神经肌肉阻滞术后镇痛临床应用Neuromuscular Blockade Postoperative Analgesia Clinical Application
摘要: 骶骨竖脊肌阻滞(SESPB)将局麻药注射于骶骨与多裂肌之间,通过药物扩散实现对骶神经、腰神经等的阻滞作用,有学者根据解剖提出应称之为骶骨多裂肌阻滞。目前,SESPB在骨科、泌尿外科、肛肠外科等表现出良好的镇痛效果。本文总结了SESPB在解剖基础、作用机制、常用药物、临床应用等方面的研究进展,旨在为临床应用提供参考。
Abstract: Sacral erector spinae plane block (SESPB) injects local anesthetic between sacrum and multifidus muscle, realizing the blocking effect on sacral nerve, lumbar nerve and so on through drug diffusion, and some scholars propose that it should be called sacral multifidus block according to anatomy. At present, SESPB shows good analgesic effects in orthopedics, urology, anal surgery and so on. This paper summarizes the research progress of SESPB in terms of anatomical basis, mechanism of action, commonly used drugs, clinical application, etc., aiming to provide a reference for clinical application.
文章引用:谭伟臻, 陈欣悦, 臧梦璇, 宋海成, 任悦义. 超声引导下的骶骨竖脊肌阻滞的临床应用进展[J]. 临床医学进展, 2025, 15(3): 1338-1346. https://doi.org/10.12677/acm.2025.153747

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