Efficacy and Safety of Pericapsular Nerve Group Block for Hip Fracture Surgery under Spinal Anesthesia: A Meta-Analysis

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Shukai Li, Jing An, Chengyu Qian, Zhixue Wang
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引用次数: 0

Abstract

Objective. To evaluate the effectiveness and safety of pericapsular nerve group (PENG) block for hip fracture surgery under spinal anesthesia. Methods. This meta-analysis was registered on INPLASY (INPLASY202270005). PubMed, Embase, Cochrane, CNKI, and Wanfang databases were searched to collect the randomized controlled trials of the PENG block applied to hip fracture surgery in the setting of spinal anesthesia, with the search period from inception to 1 May 2023. Two independent researchers gradually screened the literature, evaluated the quality, extracted the data, and eventually pooled data using RevMan 5.4. Results. Fifteen articles with 890 patients were enrolled. The combined results showed that the PENG block reduced pain scores during position placement (SMD = −0.35; 95% CI [−0.67, 0.02]; P = 0.04; I2 = 0%). Subgroup analyses showed that compared to the unblocked group, the PENG block reduced pain scores at 12 h, 24 h, and 48 h postoperatively. The incidence of postoperative hypokinesia was reduced (RR = 0.11; 95% CI [0.01, 0.86]; P = 0.04; I2 = 0.00%). The time to first walking was advanced (SMD = −0.90; 95% CI [−1.17, 0.63]; P < 0.00001; I2 = 0%). Conclusion. The PENG block can reduce postoperative pain and pain during spinal anesthesia positioning, which is helpful to improve the operability and comfort of spinal anesthesia and facilitate postoperative muscle strength recovery and early activity.

脊髓麻醉下髋部骨折手术中囊周神经组阻滞的有效性和安全性:元分析
目的评估脊髓麻醉下髋部骨折手术中囊周神经群(PENG)阻滞的有效性和安全性。方法。该荟萃分析已在 INPLASY(INPLASY202270005)上注册。检索PubMed、Embase、Cochrane、CNKI和万方数据库,收集脊髓麻醉下PENG阻滞用于髋部骨折手术的随机对照试验,检索期从开始到2023年5月1日。两名独立研究人员逐步筛选文献、评估质量、提取数据,并最终使用RevMan 5.4进行数据汇集。结果。15篇文章共纳入了890名患者。综合结果显示,PENG阻滞降低了体位摆放时的疼痛评分(SMD = -0.35; 95% CI [-0.67, 0.02]; ; I2 = 0%)。亚组分析显示,与未阻滞组相比,PENG阻滞可降低术后12小时、24小时和48小时的疼痛评分。术后运动功能减退的发生率降低(RR = 0.11;95% CI [0.01,0.86];I2 = 0.00%)。首次行走时间提前(SMD = -0.90;95% CI [-1.17,0.63];I2 = 0%)。结论PENG阻滞能减轻术后疼痛和椎管内麻醉定位时的疼痛,有助于提高椎管内麻醉的可操作性和舒适度,促进术后肌力恢复和早期活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
274
审稿时长
3-8 weeks
期刊介绍: IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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