侵入性针对全身麻醉后觉醒质量的影响:系统性审查和元分析
Fan-Dong Bu1, Shang-Kun Si2,3,4, Dong-Bin Zhang5
1The First Clinical College of Shandong University of Traditional Chinese Medicine, Jinan, China.
Frontiers in medicine
|January 28, 2025
概括
侵入性针可以通过减少眼睛打开和输出时间来改善全身麻醉后的恢复. 然而,它没有显著影响术后认知功能障碍或兴奋.
科学领域:
- 麻醉学和外科手术期间的医学.
- 整合和补充医学是整合和补充医学.
- 基于证据的医学基于证据的医学.
背景情况:
- 麻醉后的恢复是复杂的,具有延迟唤醒,焦虑和术后认知功能障碍 (POCD) 等挑战.
- 目前针对这些问题的药理干预措施存在局限性,并可能增加患者的成本.
- 针是一种传统中医技术,用于外科手术,但其在麻醉恢复中的有效性证据有限.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT) 关于外科手术期间侵入性针对全身麻醉后术后觉醒质量的影响.
主要方法:
- 从数据库开始到2022年3月,搜索了RCT的主要数据库 (PubMed,Embase,Cochrane,CNKI,CBM,Wanfang,Weipu) 进行了搜索.
- 包括专注于外科手术期间侵入性针应用的研究.
- 使用RevMan 5.3进行了元分析,使用Cochrane风险偏差工具评估了研究质量.
主要成果:
- 分析了18个涉及1,127名患者的RCT.
- 侵入性针显著减少了眼睛打开时间 (MD = -6.42) 和输出时间 (MD = -5.84).
- 针组在输出时显示出较低的平均动脉压 (MAP) 和心率 (HR),但没有发现POCD或兴奋发病率的显著差异.
结论:
- 外科手术期间的侵入性针似乎可以加快唤醒,并减少输出管期间的生理压力.
- 需要进一步的研究来证实它对认知功能和兴奋的影响.
- 侵入性针是一种潜在的补充疗法,可以改善麻醉恢复.
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