深度神经肌肉阻滞在二氧化碳气腹手术的应用进展
Research Advances on Deep Neuromuscular Blockade in Carbon Dioxide Pneumoperitoneum-Assisted Surgery
DOI: 10.12677/acm.2025.15123589, PDF,   
作者: 秦渝岚, 舒仕瑜*：重庆医科大学附属第二医院麻醉科，重庆
关键词: 深度神经肌肉阻滞；二氧化碳气腹；Deep Neuromuscular Blockade； Carbon Dioxide Pneumoperitoneum
摘要: 腹腔镜手术是一种广泛使用的微创手术方式，具有创伤小、出血少、降低住院时间等优势，是未来手术发展的必然趋势。在腹腔镜手术中二氧化碳气腹是保证良好手术视野的基本条件，但二氧化碳气腹会对患者的重要器官生理功能产生一系列不利影响，增加围术期并发症风险。而深度神经肌肉阻滞可作为有效解决低气腹压导致较差的手术操作空间和高气腹压导致气腹相关并发症的矛盾的一种方法。本文结合近年来国内外临床研究成果，系统综述深度神经肌肉阻滞应用于二氧化碳气腹手术的可行性、临床有效性及安全性，为临床麻醉管理与手术优化提供参考。
Abstract: Laparoscopic surgery is a widely utilized minimally invasive surgical approach, featuring small trauma, less bleeding, and reduced hospital stay. It represents an inevitable trend in the development of future surgeries. In laparoscopic surgeries, carbon dioxide pneumoperitoneum is a fundamental condition for ensuring a clear surgical field, which also exerts a series of adverse impacts on the physiological functions of patients’ vital organs, increasing the risk of perioperative complications. Deep neuromuscular blockade serves as an effective solution to the contradiction between the poor surgical operation space resulting from low pneumoperitoneum pressure and the pneumoperitoneum-related complications caused by high pneumoperitoneum pressure. Based on the latest domestic and foreign clinical research results in recent years, this article systematically reviews the feasibility, clinical efficacy and safety of deep neuromuscular blockade in carbon dioxide pneumoperitoneum surgery, aiming to provide references for clinical anesthetic management and surgical optimization.
文章引用：秦渝岚, 舒仕瑜. 深度神经肌肉阻滞在二氧化碳气腹手术的应用进展[J]. 临床医学进展, 2025, 15(12): 1750-1755. https://doi.org/10.12677/acm.2025.15123589

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