留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

外周神经阻滞麻醉在糖尿病周围神经病变患者中应用的研究进展

王佳

王佳. 外周神经阻滞麻醉在糖尿病周围神经病变患者中应用的研究进展[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0043
引用本文: 王佳. 外周神经阻滞麻醉在糖尿病周围神经病变患者中应用的研究进展[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0043
WANG Jia. Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy WANG Jia[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0043
Citation: WANG Jia. Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy WANG Jia[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0043

外周神经阻滞麻醉在糖尿病周围神经病变患者中应用的研究进展

doi: 10.12290/xhyxzz.2022-0043
基金项目: 

北京积水潭医院学科新星项目(XKXX806)

详细信息
    通讯作者:

    王佳,E-mail:wjwjwj_wjwjwj831@163.com

  • 中图分类号: R614.3;R587.2

Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy WANG Jia

Funds: 

Beijing Jishuitan Hospital Nova Program(XKXX201806)

  • 摘要: 外周神经阻滞麻醉的合理应用可避免全身麻醉或椎管内麻醉相关并发症,促进患者康复,其在糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)患者中的应用越来越受重视。外周神经阻滞麻醉在DPN患者麻醉中的应用存在一定优势,但由于DPN患者的外周神经已存在基础病变,应用外周神经阻滞麻醉是否增加神经损伤风险引起广泛关注。本文将对外周神经阻滞麻醉在DPN患者中的优势、麻醉实施、局麻药浓度和佐剂的选择、降低麻醉相关并发症风险等方面内容进行阐述,旨在为临床实践提供依据,提高外周神经阻滞麻醉在DPN患者中应用的安全性。
  • [1] Li Y, Teng D, Shi X, et al.Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association:national cross sectional study[J].BMJ, 2020, 369:m997.
    [2] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志, 2021, 13:315-409.
    [3] Lai HY, Foo LL, Lim SM, et al.The hemodynamic and pain impact of peripheral nerve block versus spinal anesthesia in diabetic patients undergoing diabetic foot surgery[J].Clin Auton Res, 2020, 30:53-60.
    [4] Francia P, Anichini R, Seghieri G, et al.History, prevalence and assessment of limited joint mobility, from stiff hand syndrome to diabetic foot ulcer prevention:a narrative review of the literature[J].Curr Diabetes Rev, 2018, 14:411-426.
    [5] Stevanovic K, Sabljak V, Toskovic A, et al.Anaesthesia and the patient with diabetes[J].Diabetes Metab Syndr, 2015, 9:177-179.
    [6] Frerk C, Mitchell VS, McNarry AF, et al.Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults[J].Br J Anaesth, 2015, 115:827-848.
    [7] Krishnasamy S, Abell TL. Diabetic gastroparesis:principles and current trends in management[J].Diabetes Ther, 2018, 9:1-42.
    [8] Hutton M, Brull R, Macfarlane AJR. Regional anaesthesia and outcomes[J]. BJA Educ, 2018, 18:52-56.
    [9] Li X, Wang J, Chen K, et al.Effect of different types of anesthesia on intraoperative blood glucose of diabetic patients:a PRISMA-compliant systematic review and meta-analysis[J].Medicine (Baltimore), 2017, 96:e6451.
    [10] Kim NY, Lee KY, Bai SJ, et al.Comparison of the effects of remifentanil-based general anesthesia and popliteal nerve block on postoperative pain and hemodynamic stability in diabetic patients undergoing distal foot amputation:A retrospective observational study[J].Medicine (Baltimore), 2016,95:e4302.
    [11] 何文政,林成新,刘敬臣.两种神经阻滞方法用于老年糖尿病患者下肢手术的临床观察[J].临床麻醉学杂志,2011,25:483.
    [12] Gerrard AD, Brooks B, Asaad P,et al.Meta-analysis of epidural analgesia versus peripheral nerve blockade after total knee joint replacement[J]. Eur J Orthop Surg Traumatol, 2017,27:61-72.
    [13] Lee HH, Kwon HM, Lee WS, et al.Effectiveness of ERAS (Enhanced Recovery after Surgery) Protocol via Peripheral Nerve Block for Total Knee Arthroplasty[J].J Clin Med, 2022,11:3354.
    [14] Brussee V, Guo G, Dong Y, et al.Distal degenerative sensory neuropathy in a long-term type 2 diabetes rat model[J].Diabetes.2008,57:1664-1673.
    [15] Zhang GY, Chen YF, Dai WX, et al.Diabetic Peripheral Neuropathy Increases Electrical Stimulation Threshold of Sciatic Nerve:A Prospective Parallel Cohort Study[J].Diabetes Metab Syndr Obes, 2020, 13:4447-4455.
    [16] Heschl S, Hallmann B, Zilke T, et al.Diabetic neuropathy increases stimulation threshold during popliteal sciatic nerve block[J].Br J Anaesth, 2016, 116:538-545.
    [17] Gebhard RE, Nielsen KC, Pietrobon R, et al.Diabetes mellitus, independent of body mass index, is associated with a "higher success" rate for supraclavicular brachial plexus blocks[J].Reg Anesth Pain Med, 2009, 34:404-407.
    [18] Baeriswyl M, Taffé P, Kirkham KR, et al.Comparison of peripheral nerve blockade characteristics between non-diabetic patients and patients suffering from diabetic neuropathy:a prospective cohort study[J].Anaesthesia, 2018, 73:1110-1117.
    [19] Salviz EA, Onbasi S, Ozonur A, et al. Comparison of Ultrasound-Guided Axillary Brachial Plexus Block Properties in Diabetic and Nondiabetic Patients:A Prospective Observational Study[J].J Hand Surg Am, 2017, 42:190-197.
    [20] Ten Hoope W, Hollmann MW, de Bruin K, et al. Pharmacodynamics and Pharmacokinetics of Lidocaine in a Rodent Model of Diabetic Neuropathy[J].Anesthesiology, 2018, 128:609-619.
    [21] Sertoz N, Deniz MN, Ayanoglu HO. Relationship between glycosylated hemoglobin level and sciatic nerve block performance in diabetic patients[J].Foot Ankle Int, 2013, 34:85-90.
    [22] Lavand'homme PM, Eisenach JC.Perioperative administration of the alpha2-adrenoceptor agonist clonidine at the site of nerve injury reduces the development of mechanical hypersensitivity and modulates local cytokine expression[J].Pain, 2003, 105:247-254.
    [23] Yu ZY, Geng J, Li ZQ, et al. Dexmedetomidine enhances ropivacaine-induced sciatic nerve injury in diabetic rats[J].Br J Anaesth, 2019, 122:141-149.
    [24] Markova L, Umek N, Horvat S, et al. Neurotoxicity of bupivacaine and liposome bupivacaine after sciatic nerve block in healthy and streptozotocin-induced diabetic mice[J].BMC Vet Res, 2020, 16:247.
    [25] 朱东阳,李平.局麻药物对糖尿病和非糖尿病患者围手术期氧化应激损伤及神经传导功能对影响[J].海南医学院学报, 2016, 22:2056-2059. Zhu DY, Li P.Effect of local anesthetics on perioperative oxidative stress injury and nerve conduction func-tion in diabetic or non-diabetic patients[J].Hainan Yixueyuan Xuebao, 2016

    , 22:2056-2059.
    [26] Ji ZH, Liu ZJ, Liu ZT, et al. Diphenyleneiodonium Mitigates BupivacaineInduced Sciatic Nerve Damage in a Diabetic Neuropathy Rat Model by Attenuating Oxidative Stress[J].Anesth Analg, 2017, 125:653-661.
    [27] Nicolotti D, Iotti E, Fanelli G, et al. Perineural catheter infection:a systematic review of the literature[J].J Clin Anesth, 2016, 35:123-128.
    [28] Bomberg H, Kubulus C, List F, et al. Diabetes:a risk factor for catheterassociated infections[J].Reg Anesth Pain Med, 2015, 40:16-21.
    [29] Aveline C, Le Hetet H, Le Roux A, et al. Perineural ultrasound-guided catheter bacterial colonization:a prospective evaluation in 747 cases[J].Reg Anesth Pain Med, 2011, 36:579-84.
    [30] Kamel I, Ahmed MF, Sethi A.Regional anesthesia for orthopedic procedures:What orthopedic surgeons need to know[J].World J Orthop, 2022, 13:11-35.
  • 加载中
计量
  • 文章访问数:  11
  • HTML全文浏览量:  0
  • PDF下载量:  1
  • 被引次数: 0
出版历程
  • 收稿日期:  2022-02-01
  • 录用日期:  2022-03-15
  • 网络出版日期:  2022-08-31

目录

    /

    返回文章
    返回

    【通知】尊敬的读者、作者及编者:因特殊原因,本站自2022.9.30至10.24日期间实施6—24点开放,其他时段访问受限,给您带来不便敬请谅解!10.25日恢复如常。