勃起器脊柱平面阻塞用于心脏手术中的术后止痛-系统性审查和元分析
Abhijit Nair1, Praveen Saxena2, Nitin Borkar3
1Department of Anaesthesiology, Ibra Hospital, Ministry of Health-Oman, Ibra-414, Sultanate of Oma.
Annals of cardiac anaesthesia
|July 20, 2023
概括
超声导向勃起器脊柱平面阻塞 (ESPB) 显著降低心脏手术后的48小时阿片类药物消耗和疼痛评分. 这种技术还可以通过缩短通风时间和住院时间来改善恢复.
科学领域:
- 麻醉学和疼痛管理
- 心脏手术 康复 心脏手术 康复
- 区域麻醉技术 区域麻醉技术
背景情况:
- 勃起器脊柱平面阻塞 (ESPB) 越来越多地用于术后止痛.
- 在心脏外科手术中,节制阿片类药物的策略至关重要,以减轻副作用.
- 关于ESPB在心脏外科手术中的疗效的证据需要系统评估.
研究的目的:
- 对ESPB用于心脏外科手术的随机对照试验 (RCT) 进行系统审查和元分析.
- 评估ESPB对阿片类药物消费和疼痛管理的影响.
- 评估ESPB对外科手术期间结果和不良事件的影响.
主要方法:
- 系统性审查和RCT的元分析.
- 在主要的数据库中进行了搜索 (PubMed,Embase,CENTRAL,Google Scholar).
- 包括16项涉及1110名患者的研究,比较ESPB与对照/假药.
主要成果:
- 在ESPB小组中,手术后48小时的阿片类药物消费显著降低 (P=0.02).
- ESPB显著降低了疼痛评分和手术期间的阿片类药物使用.
- 呼吸时间,动员时间和ICU/住院时间在ESPB显著缩短 (所有人P<0.00001).
结论:
- 在心脏外科手术中,ESPB提供有效的阿片类药物节约性止痛.
- ESPB促进了早期的输出管,动员和医院出院.
- 与对照组相比,ESPB与减少有关.
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