The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review.

IF 3.1 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Frontiers in Medicine Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1612201

Yi Gu, Yifan Qin, Jin Wu

引用次数: 0

Abstract

Truncal fascial plane blocks (TFPBs), including erector spinae plane block (ESPB), quadratus lumborum block (QLB), transversus abdominis plane block (TAPB), and serratus anterior plane block (SAPB), are regional anesthesia techniques that achieves analgesia by injecting local anesthetics into a specific fascial planes of the trunk, which is primarily used for postoperative pain management or multimodal analgesia regimens. TFPBs reduce surgical site pain by blocking nerve conduction while decreasing reliance on systemic analgesics, such as opioids. This narrative review evaluates the analgesic efficacy and mechanisms of TFPB in non-surgical pain management, exploring their clinical value and future development prospects.

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截断筋膜平面阻滞在非手术疼痛治疗中的演变作用：叙述性回顾。

截骨筋膜平面阻滞（TFPBs）包括立肌棘平面阻滞（ESPB）、腰方肌阻滞（QLB）、腹横平面阻滞（TAPB）、前锯肌平面阻滞（SAPB）等，是通过向躯干特定筋膜平面注射局麻药实现镇痛的区域麻醉技术，主要用于术后疼痛管理或多模式镇痛方案。TFPBs通过阻断神经传导减少手术部位疼痛，同时减少对全身镇痛药（如阿片类药物）的依赖。本文就TFPB在非手术疼痛治疗中的镇痛效果及机制进行综述，探讨其临床应用价值及未来发展前景。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Medicine Medicine-General Medicine

CiteScore

5.10

自引率

5.10%

发文量

3710

审稿时长

12 weeks

期刊介绍： Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world