胸部手术后几个区域性止痛技术的相对有效性和安全性:随机对照试验的网络元分析
Jie Li1, Qingchao Sun, Liang Zong
1Department of Thoracic Surgery, Xinjiang Medical University, First Affiliated Hospital, Urumqi, China.
International journal of surgery (London, England)
|July 4, 2023
概括
勃起器脊柱平面阻塞 (ESPB) 是胸部手术中最有效和最安全的区域止痛技术. 与其他方法相比,它可以减少术后疼痛,并发症和住院时间.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 区域止痛技术对于胸部手术后的疼痛管理至关重要.
- 评估这些技术的比较有效性和安全性对于最佳的患者结果至关重要.
研究的目的:
- 进行一个网络元分析,比较胸部手术的各种区域止痛技术.
- 确定这些方法在减少术后疼痛和并发症方面的相对有效性和安全性.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆系统搜索随机对照试验.
- 包括54项试验,包括3360名患者,评估了6种不同的区域止痛方法.
- 贝叶斯网络元分析,使用积累性排名曲线 (SUCRA) 下的表面进行治疗排名,并进行灵敏度和子组分析.
主要成果:
- 勃起器脊柱平面阻塞 (ESPB) 和胸部副脊椎阻塞在术后疼痛减轻方面排名最高.
- 在减少整体不良反应,手术后恶心和吐以及住院时间方面,ESPB表现出优于其他方法的优势.
- 虽然ESPB显示了好处,但在所有评估结果中,在各种方法之间观察到的差异很小.
结论:
- 勃起器脊柱平面阻塞 (ESPB) 似乎是胸部手术中最有效和最安全的区域止痛选择.
- ESPB与手术后疼痛减少,住院时间缩短和并发症减少有关.
- 这些发现支持ESPB作为增强胸部手术后恢复的首选方法.
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