连续外周神经阻滞王连主9资料教程.ppt

连续外周神经阻滞麻醉与镇痛;为何要行连续神经阻滞;术后镇痛（PCNA） 对血流动力学影响小，无需严密监测，减少恶心、呕吐、皮肤瘙痒、尿潴留，以及对凝血机制异常病人的担忧。 外周神经阻滞可有效阻止疼痛刺激的传入，防止中枢敏化。 对运动疼痛效果好，早期下床锻炼。 可行走，可带回家。; 连续神经阻滞用药; 连续神经阻滞用药;主要内容;一、连续肌间沟臂丛神经阻滞;臂丛神经解剖分布;;腋N;连续肌间沟臂丛神经阻滞应用;连续肌间沟臂丛穿刺技术;;; ;;;; 连续肌间沟臂丛神经阻滞操作技巧; 二、连续股神经阻滞;股神经解剖;;股神经分布;连续股神经阻滞的应用; 全膝置换（TKA） Effect of continuous femoral nerve block in analgesia and the early rehabilitation after total knee replacement.Zhongguo Gu Shang. Yu HP, Liu ZH al. 2010 Nov;23(11):825-7. Chinese. Conclusion: The continuous femoral nerve block is an effective pain relieve method and is benefical to rehabilitation from total knee arthroplasty early. ; Comparison of the influences of continuous femoral nerve block and patient controlled intravenous analgesia on total knee arthroplasty. Tang S al.Department of Anesthesiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China. Conclusion After TKA,CFNB technique provides more stable intraoperative hemodynamics than PCIA, with better pain relief,faster postoperative knee rehabilitation,less side effects,and higher patient satisfaction. ;股骨干骨折 Low cost continuous femoral nerve block for relief of acute severe cancer related pain due to pathological fracture femur. Koshy RC al. Indian J Palliat Care. 2010 Sep;16(3):180-2. Conclusion:continuous femoral nerve block was used as an efficient, cheap and safe method of pain relief for two of our patients with pathological fracture femur. This method was proved to be quite efficient in decreasing the fracture-related pain and improving the level of well being. ; 连续股神经阻滞技术;;; 连续股神经阻滞操作技巧;三、连续髂筋膜间隙阻滞; 髂筋膜间隙解剖;; 连续髂筋膜间隙阻滞应用;髋部骨折 Fascia iliaca compartment blockade for acute pain control in hip fracture patients: a randomized, placebo-controlled trial.Foss NB al. Conclusion: Pain relief was superior at all times and at all measurements in the FICB group. The study supports the use of FICB in acute management of hip fracture pain because it is an effective, easily learned procedure that a