在关节镜肩部外科手术中比较跨层阻塞与肋骨关节阻塞:一个元分析
Wei Zhang1, Zhiying Guo2, Xiaosai Hou3
1Department of Cardiology, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Medicine
|July 23, 2025
概括
对于关节镜肩部手术,骨间阻塞和骨关节阻塞都提供了类似的疼痛控制. 这次元分析发现这两种区域麻醉技术的止痛效果相似.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 关节镜肩部手术的最佳区域麻醉技术仍然是研究的主题.
- 比较跨干阻塞和肋骨关节阻塞的止痛作用对于临床决策至关重要.
研究的目的:
- 评估和比较在接受关节镜肩部手术的患者中,间阻塞与肋骨关节阻塞的止痛效果.
- 通过对随机对照试验的元分析来综合现有证据.
主要方法:
- 在主要数据库 (PubMed, EMbase, Web of Science, EBSCO, Cochrane 图书馆) 进行了系统的搜索.
- 包括的研究是随机对照试验,比较了关节镜肩部外科手术的间层阻断和侧关节骨关节阻断.
- 基于数据异质性,采用固定效应或随机效应模型.
主要成果:
- 四个随机对照试验被纳入了这次元分析.
- 两种类型的隔层阻断和肋骨关节阻断都在不同时间点 (30分钟至24小时) 显示了可比的疼痛分数.
- 在时间到第一次救助止痛或恶心和吐的发生率方面没有观察到显著的差异.
结论:
- 骨间阻塞和骨关节阻塞为接受关节镜肩部手术的患者提供了可比的止痛效果.
- 这两种技术都是这种手术患者群体疼痛管理的有效选择.
更多相关视频
04:01The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
Published on: August 8, 2025
71
10:07Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
Published on: February 10, 2015
19.4K
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
585
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
585
Muscles of the Shoulder
6.5K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
6.5K
