勃起器脊柱平面阻断在非特异性腰部疼痛中的有效性和安全性:一个探索性的系统性审查
Maroua Slouma1,2, Samara Zarati1,2, Maissa Abbes2,3
1Pain Treatment Center, Rabta Hospital, Tunis, Tunisia.
Pain management
|January 19, 2026
概括
超声导向勃起器脊柱平面块 (ESPB) 显示出缓解腰部疼痛 (LBP) 的前景,初步证据表明有效性和副作用最小. 然而,需要更多高质量的研究来证实这些发现用于临床实践.
科学领域:
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 腰部疼痛 (LBP) 是一种普遍的疾病,对生活质量产生重大影响.
- 目前关于超声导向勃起器脊柱平面块 (ESPB) 对LBP的疗效和安全性的证据有限,缺乏巩固.
- 需要总结现有数据,以指导临床决策.
研究的目的:
- 系统地审查和总结关于ESPB在LBP患者的止痛疗效和安全性的已发表证据.
- 评估ESPB在减少过程后不同时间点感知疼痛的有效性.
- 报告与ESPB相关的疼痛恶化和副作用的发生率.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 文献搜索产生了21个潜在相关的出版物,其中501名患者被纳入分析.
- 关于ESPB后疼痛减轻,疼痛恶化和副作用的提取数据.
主要成果:
- 在大多数情况下,ESPB在减少感知疼痛方面表现出有效性:216/345 (第1天),270/319 (第1个月) 和265/295 (第3个月).
- 在第一个月内,有2名患者报告疼痛恶化.
- 在5例病例中报告了副作用,这表明一般情况下是安全的.
结论:
- 初步发现表明,ESPB是一种微创的技术,有效缓解急性和慢性LBP的疼痛,有或没有根性疼痛.
- 目前的证据来源于低水平的研究,排除了强有力的结论.
- 高质量的随机对照试验对于确定最终的疗效和安全性至关重要,指导未来的临床实践.
相关概念视频
09:00Quantifying Pain Location and Intensity with Multimodal Pain Body Diagrams
4.4K
Current pain scales used to quantify pain severity, such as visual analog scales, fail to capture the complexity of subjective pain experiences. Pain body diagrams are qualitative but may be more informative. The goal of this method is to extract quantitative metrics from pain body diagrams using novel pressure-hue...
4.4K
04:53A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
11.1K
Here, we present a protocol for a study comparing the efficacy, safety, and delivery of olive-oil-based 3CB and soybean-oil-based CoB formulations in adults requiring parenteral nutrition. The results revealed that olive-oil-based 3CBs is non-inferior and well tolerated compared to soybean...
11.1K
02:26Intracranial Pharmacotherapy and Pain Assays in Rodents
5.8K
Here we present a protocol to perform intracranial pharmacological experiments followed by pain behavior assays in rodents. This protocol allows researchers to deliver molecular and cellular targets in the brain, for pharmacologic agents in the treatment of...
5.8K
Review and Preview
8.3K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.3K
Review and Preview
10.9K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
10.9K
Abdominal Exam IV: Acute Abdominal Pain Assessment
73.3K
Source: Joseph Donroe, MD, Internal Medicine and Pediatrics, Yale School of Medicine, New Haven, CT
Abdominal pain is a frequent presenting concern in both the emergency department and the office setting. Acute abdominal pain is defined as pain lasting less than seven days, while an acute abdomen refers to the abrupt onset of severe abdominal pain with features suggesting a surgically intervenable process. The differential diagnosis of acute abdominal pain is broad; thus, clinicians must have a...
Abdominal pain is a frequent presenting concern in both the emergency department and the office setting. Acute abdominal pain is defined as pain lasting less than seven days, while an acute abdomen refers to the abrupt onset of severe abdominal pain with features suggesting a surgically intervenable process. The differential diagnosis of acute abdominal pain is broad; thus, clinicians must have a...
73.3K


