勃起器脊柱平面阻塞用于术后疼痛
Lisa Oostvogels1, Stephanie Weibel2, Michael Meißner1
1Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Muenster, Germany.
The Cochrane database of systematic reviews
|February 12, 2024
概括
勃起器脊柱平面阻塞 (ESPB) 可能与没有阻塞相比,在术后疼痛中提供最小的改善. 这种区域麻醉技术显示阻断相关不良事件的发生率很低,但需要进一步的研究来确认其有效性和持续时间.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- 手术后的疼痛管理仍然是一个重大的临床挑战,通常需要多模式的方法,包括阿片类药物和区域麻醉.
- 勃起器脊柱平面阻塞 (ESPB) 已成为一种新的区域麻醉技术,有可能减少阿片类药物消费和相关副作用.
研究的目的:
- 系统地比较ESPB的止痛疗效和安全性与对照 (无阻塞,安慰剂) 和其他区域麻醉技术.
- 评估ESPB对术后疼痛强度和不良事件的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在主要数据库 (CENTRAL,MEDLINE,Embase,Web of Science) 中进行了搜索.
- 数据提取和偏差风险评估 (Cochrane RoB 2工具) 是由两个独立的审稿人进行的.
主要成果:
- 在24小时后,ESPB可能会提供较小,临床上无意义的术后疼痛减轻,而不是没有阻断 (中度确定性证据).
- 在比较ESPB与安慰剂阻塞或其他技术,如椎阻塞 (PVB) 和横腹平面阻塞 (TAPB) (低至中等确定性证据) 时,没有观察到疼痛强度的显著差异.
- 与区块链相关的不良事件在所有比较中普遍较低.
结论:
- 在加入标准护理时,ESPB可能不会显著改善24小时后的术后疼痛强度,与没有阻断相比.
- 与ESPB相关的与区块相关的不良事件的发生率很低.
- 需要进一步的研究来探索延长止痛时间的潜力,并根据正在进行的研究更新证据.
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