Quadratus lumborum block and transversus abdominis plane block in laparoscopic nephrectomy: a meta-analysis.

IF 1.4 Q4 CLINICAL NEUROLOGY

Pain management Pub Date : 2023-09-01 Epub Date: 2023-09-18 DOI:10.2217/pmt-2023-0033

Abdul S Alvi, Jamal A Nasir, Muhammad A Nizam, Muhammad M Hamdani, Nabeel A Bhangar, Syed A Sibtain, Ali S Lalani, Michiel C Warlé

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引用次数: 0

Abstract

Aim: To study the efficacy of quadratus lumborum block (QLB) and transversus abdominis plane (TAP) in laparoscopic nephrectomy patients. Materials & methods: We conducted a meta-analysis of randomized controlled trials for QLB and/or TAP technique compared with each other or a control. Results: Direct analysis of 24 h post-op pain score at rest for each compared with control showed significant reduction, QLB (mean differences [MD] [95% CI]: -1.12 [-1.87,-0.36]; p = 0.004) and TAP (MD [95% CI]: -0.36 [-0.59, -0.12]; p = 0.003). With movement both were respectively lower than control QLB (MD [95% CI]: -1.12 [-1.51, -0.72]; p = <0.0001) and TAP (MD [95% CI]: -0.50 [-0.95, -0.05]; p = 0.03). Moreover, QLB demonstrated less risk 24 h of post-op nausea vomiting (PONV) versus control (PONV; risk ratios [RR] [95% CI]: 0.64 [0.45,0.90]; p = 0.01). Conclusion: TAP and QLB reduce pain scores compared with control, whereas only QLB reduces PONV compared with control.

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腹腔镜肾切除术中腰方肌阻滞和腹横面阻滞:一项荟萃分析。

目的：探讨腰方肌阻滞（QLB）和腹横肌平面（TAP）在腹腔镜肾切除术中的疗效。材料与方法：我们对QLB和/或TAP技术的随机对照试验进行了荟萃分析，并将其与其他或对照进行了比较。结果：与对照组相比，每个患者术后24小时休息时的疼痛评分的直接分析显示显著降低，QLB（平均差异[MD][95%CI]：-1.12[-1.87,-0.36]；p=0.004）和TAP（MD[95%CI]：-0.36[-0.59,0.12]；p=0.003）。随着运动，两者分别低于对照组QLB（MD[95%CI]：-1.12/-1.51,0.72]；p=结论：与对照组相比，TAP和QLB可降低疼痛评分，而只有QLB可减少PONV。

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来源期刊

Pain management CLINICAL NEUROLOGY-

CiteScore

2.90

自引率

5.90%

发文量