勃起器脊柱平面阻塞与腰椎外科手术中的胸脊柱间平面阻塞:随机对照试验的元分析
Wei-Thing Khor1, Yu Chang1, Chih-Hao Tien1
1Section of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
Global spine journal
|June 24, 2024
概括
这次元分析发现,在腰椎手术中,勃起器脊柱平面块 (ESPB) 和胸脊间层 (TLIP) 块之间,在术后疼痛控制或吗啡使用方面没有显著差异.
科学领域:
- 麻醉学和疼痛管理
- 区域麻醉技术 区域麻醉技术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 手术后的疼痛管理对于腰椎手术后的患者康复至关重要.
- 区域麻醉技术,如勃起器脊柱平面阻断 (ESPB) 和胸椎间平面阻断 (TLIP) 越来越多地用于止痛.
- 在腰部外科手术中,ESPB与TLIP块的比较有效性需要进一步研究.
研究的目的:
- 为了比较ESPB和TLIP阻断在腰椎手术后的术后疼痛管理中的疗效.
- 为了评估两种阻断技术之间的疼痛评分和阿片类药物消费的差异.
主要方法:
- 在PubMed,Embase和MEDLINE上进行了系统的文献搜索,查询到2024年1月发表的随机对照试验 (RCT).
- 术后疼痛评分和24小时吗啡消耗的数据是从符合条件的RCT中提取的.
- 使用随机效应模型进行了元分析,以组合标准化平均差异 (SMD).
主要成果:
- 五个涉及432名患者的RCT被纳入了分析.
- 在早期,中期或晚期术后疼痛得分方面,ESPB和TLIP组之间没有发现统计学上显著的差异.
- 两个块组之间的24小时术后吗啡等效消费没有显著差异.
结论:
- 无论是ESPB还是TLIP阻断剂,在腰椎手术后都提供了可比的术后疼痛控制.
- 两种阻断技术都没有在术后的前24小时内降低阿片类药物需求方面表现出优越性.
- 这些发现表明,ESPB和TLIP块之间的选择可能不会显著影响该患者群体的早期术后结果.
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