前锯肌平面阻滞效果影响因素的研究进展

前锯肌平面阻滞(serratus anterior plane block,SAPB)作为近几年提出来的一种新型区域阻滞技术,已广泛用于胸外科及乳腺外科手术麻醉与镇痛中。SAPB通过阻滞肋间神经外侧皮支、胸长神经以及胸背神经达到完全的半胸阻滞。近年来,随着可视化技术在临床麻醉中的飞速发展及加速康复外科理念在围术期重要性的提升,超声引导下SAPB因其定位准确、安全性高、成功率高、并发症少等优点得到普及。

Research progress on the factors influencing the effect of serratus anterior plane block

Serratus anterior plane block(SAPB),as a new type of regional block technology proposed in recent years,has been widely used in anesthesia and analgesia in thoracic and breast surgery.SAPB achieves complete hemithoracic block by blocking the lateral cutaneous branches of intercostal nerve,the long thoracic nerve,and the thoracodorsal nerve.In recent years,with the rapid development of visualization technology in clinical anesthesia and the importance of enhanced recovery after surgery in perioperative period,ultrasound-guided SAPB has been widely used because of its advantages of accurate location,high safety,high success rate,and few complications.