直立棘平面阻滞在胸腔镜手术中的疗效：随机对照试验的荟萃分析。

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Surgery Forum Pub Date : 2023-10-30 DOI:10.59958/hsf.5349

Ling Liu, Yuhua Zhao, Yongpeng He, WenLi Peng, Huan He, Ling Liang

{"title":"直立棘平面阻滞在胸腔镜手术中的疗效：随机对照试验的荟萃分析。","authors":"Ling Liu, Yuhua Zhao, Yongpeng He, WenLi Peng, Huan He, Ling Liang","doi":"10.59958/hsf.5349","DOIUrl":null,"url":null,"abstract":"Background: The efficacy of erector spinae plane block for thoracoscopic surgery remains controversial. We conducted a systematic review and meta-analysis to explore the impact of erector spinae plane block on thoracoscopic surgery.Methods: We searched the PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through February 2022 for randomized controlled trials (RCTs), assessing the effect of erector spinae plane block on thoracoscopic surgery. This meta-analysis was performed using the random-effect model.Results: Seven RCTs, involving 439 patients, are included in the meta-analysis. Overall, compared with the control group for thoracoscopic surgery, erector spinae plane block (ESPB) results in significantly reduced pain scores at 1 h (standard mean difference (SMD) = -4.26; 95% confidence interval (CI) = -7.63 to -0.88; p = 0.01), 4 h (SMD = -4.08; 95% CI = -4.56 to -3.60; p < 0.00001), 8 h (SMD = -4.13; 95% CI = -4.62 to -3.65; p < 0.00001), and postoperative anesthesia consumption (SMD = -3.04; 95% CI = -4.58 to -1.50; p = 0.0001) and can decrease the incidence of nausea and vomiting (odd ratio (OR) = 0.18; 95% CI = 0.08 to 0.39; p < 0.001).Conclusions: ESPB can substantially enhance pain relief for thoracoscopic surgery.","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E621-E627"},"PeriodicalIF":0.7000,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Efficacy of Erector Spinae Plane Block for Thoracoscopic Surgery: A Meta-Analysis of Randomized Controlled Trials.\",\"authors\":\"Ling Liu, Yuhua Zhao, Yongpeng He, WenLi Peng, Huan He, Ling Liang\",\"doi\":\"10.59958/hsf.5349\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The efficacy of erector spinae plane block for thoracoscopic surgery remains controversial. We conducted a systematic review and meta-analysis to explore the impact of erector spinae plane block on thoracoscopic surgery.Methods: We searched the PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through February 2022 for randomized controlled trials (RCTs), assessing the effect of erector spinae plane block on thoracoscopic surgery. This meta-analysis was performed using the random-effect model.Results: Seven RCTs, involving 439 patients, are included in the meta-analysis. Overall, compared with the control group for thoracoscopic surgery, erector spinae plane block (ESPB) results in significantly reduced pain scores at 1 h (standard mean difference (SMD) = -4.26; 95% confidence interval (CI) = -7.63 to -0.88; p = 0.01), 4 h (SMD = -4.08; 95% CI = -4.56 to -3.60; p < 0.00001), 8 h (SMD = -4.13; 95% CI = -4.62 to -3.65; p < 0.00001), and postoperative anesthesia consumption (SMD = -3.04; 95% CI = -4.58 to -1.50; p = 0.0001) and can decrease the incidence of nausea and vomiting (odd ratio (OR) = 0.18; 95% CI = 0.08 to 0.39; p < 0.001).Conclusions: ESPB can substantially enhance pain relief for thoracoscopic surgery.\",\"PeriodicalId\":51056,\"journal\":{\"name\":\"Heart Surgery Forum\",\"volume\":\"26 5\",\"pages\":\"E621-E627\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Heart Surgery Forum\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.59958/hsf.5349\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart Surgery Forum","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.59958/hsf.5349","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

背景：直立棘平面阻滞在胸腔镜手术中的疗效仍然存在争议。我们进行了一项系统综述和荟萃分析，以探讨竖脊肌平面阻滞对胸腔镜手术的影响。方法：我们在PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库中搜索了截至2022年2月的随机对照试验（RCT），以评估竖脊肌平面阻滞对胸腔镜手术的影响。该荟萃分析采用随机效应模型进行。结果：纳入荟萃分析的有7项随机对照试验，涉及439名患者。总体而言，与胸腔镜手术的对照组相比，竖脊肌平面阻滞（ESPB）在1小时时可显著降低疼痛评分（标准平均差（SMD）=-4.26；95%置信区间（CI）=-7.63至-0.88；p=0.01）、4小时（SMD=-4.08；95%CI=-4.56至-3.60；p<0.00001）、8小时（SMD=-4.13；95%CI=-4.62至-3.65；p<.00001）和术后麻醉消耗（SMD=-3.04；95%CI=4.58至-1.50；p=0.0001），并可降低恶心和呕吐的发生率（奇数比（OR）=0.18；95%置信区间=0.08至0.39；p＜0.001）。结论：ESPB能显著提高胸腔镜手术的镇痛效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The Efficacy of Erector Spinae Plane Block for Thoracoscopic Surgery: A Meta-Analysis of Randomized Controlled Trials.

Background: The efficacy of erector spinae plane block for thoracoscopic surgery remains controversial. We conducted a systematic review and meta-analysis to explore the impact of erector spinae plane block on thoracoscopic surgery.

Methods: We searched the PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through February 2022 for randomized controlled trials (RCTs), assessing the effect of erector spinae plane block on thoracoscopic surgery. This meta-analysis was performed using the random-effect model.

Results: Seven RCTs, involving 439 patients, are included in the meta-analysis. Overall, compared with the control group for thoracoscopic surgery, erector spinae plane block (ESPB) results in significantly reduced pain scores at 1 h (standard mean difference (SMD) = -4.26; 95% confidence interval (CI) = -7.63 to -0.88; p = 0.01), 4 h (SMD = -4.08; 95% CI = -4.56 to -3.60; p < 0.00001), 8 h (SMD = -4.13; 95% CI = -4.62 to -3.65; p < 0.00001), and postoperative anesthesia consumption (SMD = -3.04; 95% CI = -4.58 to -1.50; p = 0.0001) and can decrease the incidence of nausea and vomiting (odd ratio (OR) = 0.18; 95% CI = 0.08 to 0.39; p < 0.001).

Conclusions: ESPB can substantially enhance pain relief for thoracoscopic surgery.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Heart Surgery Forum 医学-外科

CiteScore

1.20

自引率

16.70%

发文量

130

审稿时长

6-12 weeks

期刊介绍： The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.