对于腹部手术的超声导向横腹平面 (TAP) 块的最佳方法:系统审查和元分析的协议
Qiuyu Zhu1, Donghang Zhang2, Yiyong Wei3
1Department of Anesthesiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen & Longgang District People's Hospital of Shenzhen, Shenzhen, China.
BMJ open
|May 2, 2024
概括
本系统性审查协议旨在找到最好的超声波导向横腹平面 (TAP) 阻断方法,以缓解手术后的疼痛. 它将比较不同的TAP阻断方法以优化术后止痛.
科学领域:
- 麻醉学和疼痛管理
- 区域麻醉技术 区域麻醉技术
- 基于证据的医学基于证据的医学.
背景情况:
- 横腹平面 (TAP) 块被广泛用于腹部手术后的术后疼痛管理.
- 对于TAP块存在各种方法,包括后部,侧面和肋下技术.
- 现有的随机对照试验 (RCT) 将这些方法进行比较,在止痛疗效方面产生了不一致的结果.
研究的目的:
- 系统地审查和比较不同超声导向TAP阻断方法的止痛作用.
- 确定最佳的TAP阻断技术,以增强腹部手术后的术后止痛.
- 为区域麻醉的临床实践提供基于证据的指导.
主要方法:
- 在Web of Science,PubMed,EMBASE和Cochrane图书馆数据库中进行系统的文献搜索.
- 该搜索将包括到2024年7月30日的RCT,比较不同超声导向TAP块方法的止痛结果.
- 主要结局:手术后的阿片类药物消费 (24小时). 二次结果:镇痛持续时间,疼痛评分和不良事件. 使用RevMan V.5.4进行数据分析;用GRADE.评估证据质量.
主要成果:
- 本节不适用,因为摘要描述的是研究方案,而不是完成的结果.
- 该协议概述了未来元分析的方法.
- 预期的结果将在不同的TAP区块方法中比较阿片类药物消费,疼痛评分和不良事件.
结论:
- 本系统性审查协议将建立最佳的超声波导向横向腹部平面 (TAP) 块方法,用于术后止痛.
- 结果将为临床决策提供信息,并可能标准化腹部手术区域麻醉的最佳实践.
- 这项研究旨在解决当前文献中的不一致性,并通过优化疼痛管理来改善患者的治疗结果.
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