对起器脊柱平面块的系统审查的方法质量:系统审查
Burhan Dost1, Yunus Emre Karapinar2, Muzeyyen Beldagli3
1Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.
Anaesthesia, critical care & pain medicine
|February 8, 2026
概括
大多数关于起器脊柱平面 (ESP) 块的元分析缺乏高方法质量. 需要进一步遵守报告标准,才能对ESP块做出可靠的临床决定.
科学领域:
- 麻醉学和疼痛管理
- 基于证据的医学基于证据的医学.
- 系统审查方法论 系统审查方法论
背景情况:
- 起器脊柱平面 (ESP) 块上的元分析 (MA) 数量迅速增加.
- 这些MA的方法质量需要彻底评估以确保可靠性.
研究的目的:
- 系统地评估评估ESP块的元分析的方法质量.
- 为了确定ESP区块元分析中的潜在质量预测因素.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus,Web of Science,Cochrane Library) 进行了系统的搜索,以查找ESP区块MA的2016-2025年期间.
- 使用AMSTAR-2工具评估方法质量,并使用修正覆盖面积 (CCA) 量化研究重叠.
- 多变量分析探索了潜在的质量预测因素.
主要成果:
- 包括97个MA,主要集中在一次注射的胸部ESP阻塞,用于腹部手术.
- 显著的大多数MA被评为低质量 (42.3%) 或非常低质量 (41.2%) ,只有7.2%被认为是高质量.
- 常见的缺陷包括缺少的融资声明和对出版偏差的不充分评估. 研究的重叠是最小的 (CCA: 1.17%).
结论:
- 虽然ESP块得到了文献的支持,但大多数元分析显示的方法质量不足于最佳.
- 更好地遵守报告和评估标准对于提高基于ESP块证据的临床决策可靠性至关重要.
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