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勃起器脊柱平面阻断用于缓解癌症疼痛:一个系统的审查

Paolo Capuano¹, Antonietta Alongi², Gaetano Burgio³

¹Department of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC, Via Ernesto Tricomi 5, Palermo, 90127, Italy. paolocapuano89@gmail.com.

Journal of anesthesia, analgesia and critical care

|November 15, 2024

概括

勃起脊柱平面阻塞 (ESPB) 显示出癌症疼痛的潜力,但目前的证据有限. 需要更多高质量的比较研究来确定其有效性并指导临床实践.

科学领域:

麻醉学麻醉学
疼痛管理疼痛管理
在瘤学瘤学.

背景情况:

癌症相关的疼痛是一个重大的挑战,尽管管理方面取得了进展.
带平面块,如勃起器脊柱平面块 (ESPB),正在获得慢性疼痛的兴趣,包括瘤学.
本系统性审查综合了ESPB关于癌症疼痛的当前证据.

研究的目的:

系统地审查和综合现有关于使用勃起脊柱平面阻断 (ESPB) 治疗癌症疼痛的证据.
评估关于ESPB在瘤疼痛管理方面的研究现状.

主要方法:

从2016年1月到2024年4月,在PubMed和Embase进行了系统的文献搜索.
关键词包括"勃起器脊柱平面阻断"",ESP阻断"",ESPB"和"癌症疼痛".
符合条件的研究包括随机试验,非随机研究,病例系列和病例报告.

主要成果:

该审查确定了34项涉及135名患者的研究,包括1项RCT,3项回顾性研究,2个病例系列和28份病例报告.
ESPB用于各种癌症疼痛类型 (胸部,腹部,骨转移),采用单次,连续和神经溶解技术.
技术,药物和辅助剂的临床异质性显著,以及缺乏对比剂和整体证据质量低下.

结论:

目前关于ESPB在癌症疼痛管理中的证据有限,异质,质量低.
进一步的研究侧重于严格的比较研究,标准化技术和更大的样本大小是必不可少的.
对于ESPB在瘤疼痛方面的强有力的临床指导,需要更高质量的证据.

关键词:

癌症疼痛癌症疼痛慢性疼痛是一种慢性疼痛.带平面堵塞带平面堵塞局部区域麻醉局部区域麻醉疼痛管理疼痛管理

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