区域性和全身麻醉在皮肤穿透性利切除术:一个系统的审查和元分析
Mohammed Shahait1, Tuan Thanh Nguyen2, Nguyen Xuong Duong3
1Department of Surgery, Clemenceau Medical Center, Dubai, United Arab Emirates.
Central European journal of urology
|April 22, 2024
概括
皮肤穿神经切除术 (PCNL) 的区域麻醉是安全有效的,与全身麻醉相比,导致住院时间更短,并发症更少. 患者选择和共享决策是PCNL程序中最佳结果的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 穿皮石切除术 (PCNL) 是一种常见的石切除手术.
- 在PCNL的全身麻醉和区域麻醉之间做出选择是有争议的.
- 需要进行比较性研究来评估术前和术后的结果.
研究的目的:
- 在接受PCNL的患者中,比较区域麻醉与全身麻醉的术前和术后结果.
- 评估PCNL区域麻醉的安全性和有效性.
主要方法:
- 对比PCNL全身麻醉和区域麻醉的研究的元分析.
- 搜索的数据库:PubMed,Scopus,科学网 (直到2023年3月).
- 遵循PRISMA 2020和AMSTAR指南;RR和MD的95%CI用于分析.
主要成果:
- 分析包括3871个PCNL病例 (2154个区域,1717个全身麻醉).
- 区域麻醉组的停留时间显着较短 (MD = -0.34天,p = 0.002).
- 区域麻醉与术后恶心/吐 (RR = 0.16,p = 0.026),严重并发症 (III-V级,RR = 0.68,p = 0.004) 和疼痛 (VAS在1小时后,MD = -3.5,p <0.001) 的较低率有关.
结论:
- 区域麻醉是PCNL的安全和可行的选择,产生与全身麻醉相似的结果.
- 区域麻醉在减少停留时间,并发症和术后疼痛方面具有优势.
- 精心选择患者和共享决策对于优化PCNL结果至关重要.
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