外侧斜肋间平面块:解剖学,技术和临床应用的范围审查
Sakshi Thakore1, Tuhin Mistry2, Abhijit S Nair3
1Associate Professor, Department of Anaesthesiology, Ananta Institute of Medical Sciences, Udaipur, Rajasthan, India.
Indian journal of anaesthesia
|February 16, 2026
概括
外侧斜肋间平面块 (EOIPB) 为手术提供安全有效的疼痛缓解. 这种超声波引导的技术在减少阿片类药物使用和改善患者康复方面表现有前途.
科学领域:
- 区域麻醉 区域麻醉
- 超声波引导的程序 超声波引导的程序
- 疼痛管理 疼痛管理
背景情况:
- 外侧倾斜的肋间平面块 (EOIPB) 是一种新兴的超声波导向区域麻醉技术.
- 它的目标是外侧斜肌和外侧肋间肌之间的形平面.
研究的目的:
- 进行范围审查,对EOIPB的当前证据进行映射.
- 该审查涵盖了解剖学基础,技术,临床应用,疗效和安全.
主要方法:
- 在PubMed,Scopus和Cochrane数据库中进行系统搜索 (2019年1月至2025年7月).
- 包括临床试验,观察性研究,病例系列,病例报告和尸体调查.
- 分析了42项涉及1610名患者的研究.
主要成果:
- EOIPB通常在第六条肋骨上用内平面的斜腰方法施用,覆盖T6-T10皮肤病.
- 证明了阿片类药物节约作用,减少疼痛得分,改善恢复.
- 与其他区域阻塞和伤口透相比或优于;导管使用可以长时间缓解疼痛.
结论:
- EOIPB是一种安全,有效和多功能区域麻醉技术,用于上腹部和下胸部手术.
- 它显示了在手术后增强恢复协议中的潜力.
- 需要进一步进行高质量的比较研究和技术标准化.
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