Reg Anesth Pain Med. 2018 Jan;43(1):5-13. doi: 10.1097/AAP.0000000000000681.
Transversus abdominis plane (TAP) catheters are increasingly being used as an opioid-sparing analgesic technique following abdominal surgery. The aim of this systematic review is to evaluate the efficacy and safety of TAP catheters for postoperative analgesia following abdominal surgery in adults. The authors searched electronic databases and relevant reference lists for randomized controlled trials published between inception and January 2017. Twelve randomized controlled trials were identified, comprising 661 participants, with several trials showing either an equivalence or superiority in analgesia compared with the alternative modality. Because of the extremely heterogeneous nature of the studies, a specific consensus regarding their results, or the ability to construct a meta-analysis, is unviable. Although there are promising indications for the benefit of TAP catheter techniques, extrapolation/comparison of results and application to patient care will be better elucidated when there is more standardization of TAP catheter techniques and the methodology for measuring efficacy.
腹横肌平面（TAP）导管在腹部手术后越来越多地被用作一种阿片类药物节省镇痛技术。本系统评价的目的是评估 TAP 导管在成人腹部手术后用于术后镇痛的疗效和安全性。作者检索了电子数据库和相关参考文献，以获取 2017 年 1 月之前发表的随机对照试验。确定了 12 项随机对照试验，共纳入 661 名参与者，其中几项试验在镇痛方面与替代方法相比显示出等效或优越性。由于研究的性质极其多样，因此无法就其结果达成具体共识，或者无法进行荟萃分析。尽管 TAP 导管技术有很好的获益迹象，但是当 TAP 导管技术和测量疗效的方法更加标准化时，结果的推断/比较和对患者护理的应用将更加清晰。
