肿瘤预防与治疗2026,Vol.39Issue(1):65-70,6.DOI:10.3969/j.issn.1674-0904.2026.01.010
深度神经肌肉阻滞对腹腔镜手术影响的研究进展
Advances in the Application of Deep Neuromuscular Blockade in Laparo-scopic Surgery
何静 1姜建军 2朱易豪 3张宏伟3
作者信息
- 1. 610041 成都,四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院 妇瘤科
- 2. 611630 成都,蒲江县人民医院 麻醉科
- 3. 610041 成都,四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院 手术麻醉科
- 折叠
摘要
Abstract
The use of deep neuromuscular blockade(NMB)in laparoscopic surgery is receiving growing interest as a no-vel management strategy.Compared with traditional moderate NMB,deep NMB provides superior relaxation of the abdominal wall muscles.This allows for a reduction in pneumoperitoneum pressure and improves surgical conditions.Consequently,in specific procedures such as prostatectomy and laparoscopic proctocolectomy,deep NMB can reduce complications and pro-mote patient recovery.However,deep NMB does not provide significant clinical benefits in obese patients,and its routine use in this population remains debated.This article reviews the impact of deep NMB on intraoperative factors(surgical con-ditions,pneumoperitoneum pressure,and respiratory management)and postoperative outcomes in laparoscopic surgery.We summarize current progress,address ongoing controversies,and discuss future research directions,aiming to inform clinical anesthesia and surgical practice.关键词
深度神经肌肉阻滞/腹腔镜手术/气腹压力/手术条件/术后并发症Key words
Deep neuromuscular blockade/Laparoscopic surgery/Pneumoperitoneum pressure/Surgical conditions/Postoperative complications分类
医药卫生引用本文复制引用
何静,姜建军,朱易豪,张宏伟..深度神经肌肉阻滞对腹腔镜手术影响的研究进展[J].肿瘤预防与治疗,2026,39(1):65-70,6.