Qi Hong Shen, Yue-Zhong Lv, Ya-Fen Shi, Lan Lai, Yan-Jun Chen, Qing-He Zhou
{"title":"罗氏肋间阻滞用于胸部手术和乳房手术术后镇痛的有效性和安全性：系统回顾与元分析","authors":"Qi Hong Shen, Yue-Zhong Lv, Ya-Fen Shi, Lan Lai, Yan-Jun Chen, Qing-He Zhou","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Prior research has suggested that the rhomboid intercostal block (RIB) may contribute to postoperative analgesia after surgeries of the chest and breast.</p><p><strong>Objective: </strong>To explore the effectiveness and safety of RIB for postoperative analgesia, as well as whether RIB is superior to other types of nerve blocks.</p><p><strong>Study design: </strong>A systematic review and meta-analysis.</p><p><strong>Setting: </strong>Querying electronic databases, including the Cochrane Library, PubMed, Embase, and Web of Science, was part of the process in searching for eligible clinical trials for this meta-analysis and systematic review.</p><p><strong>Methods: </strong>The Cochrane Collaboration's tool for quality evaluation was utilized in assessing the bias risk in the selected randomized controlled trials (RCTs). meta-analysis was facilitated through the utilization of Review Manager 5.3. The determination of the evidence's quality adhered to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.</p><p><strong>Results: </strong>After the inclusion and exclusion criteria were established, the incorporation of 8 RCTs, encompassing 714 patients, took place. During the first 24 hours after the operation, patients in the RIB group exhibited lower pain scores and less opioid consumption than did those in the no-block group. Furthermore, a decrease in the incidence of postoperative vomiting and nausea was noted in the RIB group. Nevertheless, when comparing outcomes, it was revealed that the RIB group and the other nerve block group did not differ significantly.</p><p><strong>Limitations: </strong>No subgroup analysis to investigate the sources of heterogeneity was performed. The number of studies in this meta-analysis of RIB compared to those that focus on other types of nerve block is relatively small. The optimal concentrations and volumes of local anesthetics were not evaluated.</p><p><strong>Conclusions: </strong>RIB may be a new option for pain relief after chest and breast surgery.</p>","PeriodicalId":19841,"journal":{"name":"Pain physician","volume":"27 7","pages":"375-385"},"PeriodicalIF":2.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Efficacy and Safety of the Rhomboid Intercostal Block for Postoperative Analgesia in Chest Surgery and Breast Surgery: A Systemic Review and Meta-Analysis.\",\"authors\":\"Qi Hong Shen, Yue-Zhong Lv, Ya-Fen Shi, Lan Lai, Yan-Jun Chen, Qing-He Zhou\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Prior research has suggested that the rhomboid intercostal block (RIB) may contribute to postoperative analgesia after surgeries of the chest and breast.</p><p><strong>Objective: </strong>To explore the effectiveness and safety of RIB for postoperative analgesia, as well as whether RIB is superior to other types of nerve blocks.</p><p><strong>Study design: </strong>A systematic review and meta-analysis.</p><p><strong>Setting: </strong>Querying electronic databases, including the Cochrane Library, PubMed, Embase, and Web of Science, was part of the process in searching for eligible clinical trials for this meta-analysis and systematic review.</p><p><strong>Methods: </strong>The Cochrane Collaboration's tool for quality evaluation was utilized in assessing the bias risk in the selected randomized controlled trials (RCTs). meta-analysis was facilitated through the utilization of Review Manager 5.3. The determination of the evidence's quality adhered to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.</p><p><strong>Results: </strong>After the inclusion and exclusion criteria were established, the incorporation of 8 RCTs, encompassing 714 patients, took place. During the first 24 hours after the operation, patients in the RIB group exhibited lower pain scores and less opioid consumption than did those in the no-block group. Furthermore, a decrease in the incidence of postoperative vomiting and nausea was noted in the RIB group. Nevertheless, when comparing outcomes, it was revealed that the RIB group and the other nerve block group did not differ significantly.</p><p><strong>Limitations: </strong>No subgroup analysis to investigate the sources of heterogeneity was performed. The number of studies in this meta-analysis of RIB compared to those that focus on other types of nerve block is relatively small. The optimal concentrations and volumes of local anesthetics were not evaluated.</p><p><strong>Conclusions: </strong>RIB may be a new option for pain relief after chest and breast surgery.</p>\",\"PeriodicalId\":19841,\"journal\":{\"name\":\"Pain physician\",\"volume\":\"27 7\",\"pages\":\"375-385\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain physician\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain physician","FirstCategoryId":"3","ListUrlMain":"","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：先前的研究表明，斜方肌肋间阻滞（RIB）可能有助于胸部和乳房手术后的术后镇痛：研究设计：研究设计：系统回顾和荟萃分析：查询电子数据库，包括 Cochrane 图书馆、PubMed、Embase 和 Web of Science，是为该荟萃分析和系统综述搜索符合条件的临床试验的过程之一：方法：在评估所选随机对照试验（RCT）的偏倚风险时，使用了 Cochrane 协作组织的质量评估工具。对证据质量的判定采用了建议评估、发展和评价分级法（GRADE）：在确定了纳入和排除标准后，共纳入了 8 项 RCT，涉及 714 名患者。与无阻滞组相比，RIB 组患者在术后 24 小时内的疼痛评分较低，阿片类药物用量也较少。此外，RIB 组术后呕吐和恶心的发生率也有所下降。然而，在比较结果时发现，RIB组与其他神经阻滞组没有显著差异：局限性：未进行亚组分析以研究异质性的来源。与关注其他类型神经阻滞的研究相比，本荟萃分析中关于 RIB 的研究数量相对较少。没有对局麻药的最佳浓度和用量进行评估：RIB可能是缓解胸部和乳房手术后疼痛的新选择。
The Efficacy and Safety of the Rhomboid Intercostal Block for Postoperative Analgesia in Chest Surgery and Breast Surgery: A Systemic Review and Meta-Analysis.
Background: Prior research has suggested that the rhomboid intercostal block (RIB) may contribute to postoperative analgesia after surgeries of the chest and breast.
Objective: To explore the effectiveness and safety of RIB for postoperative analgesia, as well as whether RIB is superior to other types of nerve blocks.
Study design: A systematic review and meta-analysis.
Setting: Querying electronic databases, including the Cochrane Library, PubMed, Embase, and Web of Science, was part of the process in searching for eligible clinical trials for this meta-analysis and systematic review.
Methods: The Cochrane Collaboration's tool for quality evaluation was utilized in assessing the bias risk in the selected randomized controlled trials (RCTs). meta-analysis was facilitated through the utilization of Review Manager 5.3. The determination of the evidence's quality adhered to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.
Results: After the inclusion and exclusion criteria were established, the incorporation of 8 RCTs, encompassing 714 patients, took place. During the first 24 hours after the operation, patients in the RIB group exhibited lower pain scores and less opioid consumption than did those in the no-block group. Furthermore, a decrease in the incidence of postoperative vomiting and nausea was noted in the RIB group. Nevertheless, when comparing outcomes, it was revealed that the RIB group and the other nerve block group did not differ significantly.
Limitations: No subgroup analysis to investigate the sources of heterogeneity was performed. The number of studies in this meta-analysis of RIB compared to those that focus on other types of nerve block is relatively small. The optimal concentrations and volumes of local anesthetics were not evaluated.
Conclusions: RIB may be a new option for pain relief after chest and breast surgery.
期刊介绍：
Pain Physician Journal is the official publication of the American Society of Interventional Pain Physicians (ASIPP). The open access journal is published 6 times a year.
Pain Physician Journal is a peer-reviewed, multi-disciplinary, open access journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine.
Pain Physician Journal presents the latest studies, research, and information vital to those in the emerging specialty of interventional pain management – and critical to the people they serve.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
