勃起器脊柱平面阻断与腹部外科手术中的四角腰部阻断:系统性审查和元分析
Yifan Qin1, Xiaofeng Zhou1, Mengmeng Wu1
1Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
World journal of surgery
|November 23, 2024
概括
勃起器脊柱平面块 (ESPB) 和四边脊柱块 (QLB) 在腹部手术后提供可比的疼痛缓解. 虽然ESPB显示吗啡使用量略低,但两组都没有在疼痛管理或副作用方面显示出临床显著的差异.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 勃起器脊柱平面块 (ESPB) 和四腰部块 (QLB) 是新兴的外科疼痛的面际平面块.
- 它们对腹部手术和疼痛缓解的比较有效性仍在争论中.
研究的目的:
- 系统地比较ESPB与QLB在腹部手术后的止痛效果.
- 为了评估术后疼痛,止痛药消耗和两种阻断技术之间的并发症.
主要方法:
- 一个系统的文献搜索确定了随机对照试验,比较ESPB和QLB.
- 分析重点关注了24小时的手术后吗啡等效消耗作为主要结局.
- 小组分析考虑了手术类型和QLB方法.
主要成果:
- 与QLB相比,ESPB证明了24小时吗啡消费量有统计学意义的,但没有临床意义的减少.
- 在疼痛得分,第一次止痛时间或术后恶心和吐 (PONV) 中没有发现显著差异.
- 四角腰部块 (QLB) 的程序比起直立脊柱平面块 (ESPB) 需要更长的时间.
结论:
- 单针ESPB和QLB在腹部手术中提供类似的止痛效果.
- 这两种技术都显示了可比的PONV发病率,没有发现与阻断相关的并发症.
- 在技术上,QLB可能比ESPB要求更高的程序.
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