在剖腹产中勃起器脊柱平面阻塞:一个范围审查
Kieran Brosnan1, Mary Moore1, Aisling Ní Eochagáin1,2
1Department of Anaesthesiology, Rotunda Hospital, Dublin, Ireland.
Saudi journal of anaesthesia
|February 17, 2025
概括
勃起器脊柱平面块 (ESPB) 对剖腹产疼痛缓解有希望,一些研究报告减少疼痛和止痛药的需求. 然而,需要更多的研究来证实它的有效性和指导广泛使用.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- 多模式止痛是剖腹产疼痛管理的关键.
- 区域技术正在引起人们的兴趣,但没有黄金标准.
- 勃起器脊柱平面块 (ESPB) 是一种较新的带平面块,在干手术中越来越多的应用,包括剖腹产.
研究的目的:
- 审查关于ESPB在剖腹产中使用的现有文献.
- 识别当前研究中的差距,为未来的研究提供信息.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查.
- 在四个数据库中搜索了2016年至2022年间发表的研究.
- 包括专注于ESPB用于剖腹产后止痛的研究.
主要成果:
- 审查了16篇文章.
- 常见的结局包括术后疼痛评分和止痛药消耗.
- 六项研究显示,疼痛评分显著降低;三项研究显示,止痛药消耗减少.
结论:
- 对剖腹产的ESPB使用正在增加,但缺乏足够的证据来广泛采用.
- 需要进一步的研究来评估ESPB在特定患者群体中的有效性以及以患者为中心的结果.
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