区域神经阻滞在乳腺癌术后镇痛中的应用研究进展*
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耿智隆,E-mail:zlgch@hotmail.com;Tel:13893611552

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兰州军区全军后勤科研计划项目基金(No:CLZ14L001)


A review of regional nerve block in breast cancer patients for postoperative analgesia*
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    摘要:

    25%~60% 的乳腺癌患者手术治疗后可出现剧烈疼痛,这种疼痛增加患者呼吸、心血管系统的 相关并发症,也可致患者出现失眠、焦虑、恐惧等情绪障碍,严重影响患者的术后康复。术后静脉注射镇痛 药物虽然可以缓解患者疼痛,但同时易导致患者出现恶心、呕吐、呼吸抑制等不良反应。区域神经阻滞不仅 有满意的术后镇痛,减少术后并发症的发生,更具有操作简便、安全性高等优点。该文就乳腺癌术后镇痛相 关的区域神经阻滞技术进行综述,以期为临床提供参考。

    Abstract:

    Surgical treatment of breast cancer is often used clinically. According to the available data, it can be seen that 25% to 60% of breast cancer patients can have severe pain after surgery, and this pain can increase the complications of patients' respiratory and cardiovascular system. Will cause patients with insomnia, anxiety, fear and other emotional disorders, which seriously affect the speed and degree of postoperative recovery of breast cancer patients. Therefore, intravenous injection of analgesic drugs after surgery in order to ease the pain of patients, it is easy to cause patients with nausea, vomiting, respiratory depression and other adverse reactions. Regional nerve block can not only relieve the analgesia and reduce the occurrence of postoperative complications, but also has the advantages of simple and convenient practice and high safety. This article reviews the techniques of regional nerve block analgesia after breast cancer surgery, hoping to provide a reference for clinical treatment.

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杨勇丽,耿智隆,吴俊东,张强英,杨婉君.区域神经阻滞在乳腺癌术后镇痛中的应用研究进展*[J].中国现代医学杂志,2021,(5):39-44

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  • 收稿日期:2020-10-15
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  • 在线发布日期: 2021-03-15
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