囊周神经群阻断与部外科手术的侧侧腿肌神经阻断相结合:一个元分析
Fan Yang1, Qiang Tang1, Bing Wang1
1Department of Pain Management, Huanggang Central Hospital, Huanggang, China.
Frontiers in pain research (Lausanne, Switzerland)
|January 28, 2026
概括
结合的周囊神经组 (PENG) 和侧肌神经 (LFCN) 阻断显著改善了部手术后的疼痛管理和恢复. 这一元分析证实了它在减轻疼痛,增强移动性和最大限度地减少并发症方面的有效性.
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:
- 部手术后的术后疼痛是一个重大挑战.
- 周囊神经群 (PENG) 阻断和侧肌神经 (LFCN) 阻断是新兴的止痛技术.
- 部手术中PENG和LFCN阻断剂的联合疗效需要进一步的临床验证.
研究的目的:
- 系统地评估PENG和LFCN联合阻断在部手术后术后止痛的临床有效性.
- 综合来自随机对照试验 (RCT) 关于疼痛评分,止痛药消耗和功能恢复的证据.
- 评估这种联合阻断对四头肌疲软和术后恶心和吐 (PONV) 等并发症的影响.
主要方法:
- 在多个数据库和灰色文献资源中进行了系统的文献搜索.
- 包括12项随机对照试验 (RCT),涉及823名接受关节手术的患者.
- 进行了定量元分析,以评估关键的临床结果.
主要成果:
- 联合PENG和LFCN阻断显著降低了休息和运动期间的疼痛评分.
- 患者经历了第一次救援止痛的时间增加和止痛药消耗的减少.
- 联合阻塞也导致四头肌弱的发病率较低,行走速度更快,并减少了PONV.
结论:
- 联合PENG和LFCN阻断表明在部手术中对术后止痛有良好的临床疗效.
- 建议采用这种方法来改善患者的治疗结果和康复.
- 需要进一步进行高质量,大规模的RCT来巩固这些发现.
相关概念视频
Block Diagram Reduction
553
The process of deriving the transfer function of a control system often involves reducing its block diagram to a single block. This simplification can be achieved through a series of strategic operations, including relocating branch points and comparators. These operations preserve the overall function of the system while allowing for easier manipulation and combination of blocks.
The first step in this process is the identification and relocation of a branch point. A branch point, where a...
The first step in this process is the identification and relocation of a branch point. A branch point, where a...
553
Elements of Block Diagrams
696
Block diagrams serve as a visual representation of the input-output relationships within a system. An illustrative example is a heating system, where the set temperature activates the furnace to warm the room to the desired level. Block diagrams are versatile, modeling linear systems through Laplace transform variables and nonlinear systems using time domain variables.
A block diagram typically includes essential elements such as comparators, blocks, and feedback loops. Each of these elements...
A block diagram typically includes essential elements such as comparators, blocks, and feedback loops. Each of these elements...
696
Relation between Mathematical Equations and Block Diagrams
3.3K
In a spring-mass-damper system, the second-order differential equation describes the dynamic behavior of the system. When transformed into the Laplace domain under zero initial conditions, this equation can be effectively analyzed and manipulated. The transformation into the Laplace domain converts differential equations into algebraic equations, simplifying the process of isolating the output.
3.3K
Spinal Nerves: Plexus II
2.3K
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
2.3K
Nerve Supply of the GI Tract
3.5K
The neuronal supply to the gastrointestinal (GI) tract is essential for regulating various functions, including digestion, absorption, and movement of food. This intricate network of nerves is known as the enteric nervous system (ENS), often referred to as the "second brain" of the body.
The enteric nervous system consists of two major plexuses: the myenteric plexus (Auerbach's plexus) and the submucosal plexus (Meissner's plexus). These plexuses are located within the layers of...
The enteric nervous system consists of two major plexuses: the myenteric plexus (Auerbach's plexus) and the submucosal plexus (Meissner's plexus). These plexuses are located within the layers of...
3.5K
Cranial Nerves: Types Part I
5.1K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
5.1K


