• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

腰椎手术后竖脊肌平面阻滞用于镇痛的系统评价

The erector spinae plane block for analgesia after lumbar spine surgery: A systematic review.

作者信息

Rizkalla James M, Holderread Brendan, Awad Matthew, Botros Andro, Syed Ishaq Y

机构信息

Baylor University Medical Center, Department of Orthopedic Surgery, Dallas, TX, USA.

Coptic Medical Association of North America (CMANA) Research Institute, USA.

出版信息

J Orthop. 2021 Feb 18;24:145-150. doi: 10.1016/j.jor.2021.02.006. eCollection 2021 Mar-Apr.

DOI:10.1016/j.jor.2021.02.006
PMID:33716419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7932853/
Abstract

OBJECTIVE

To evaluate the available evidence for the utility of Erector Spinae Plane blocks (ESPB) after Lumbar surgery.

METHODS

Databases were searched until December 20, 2020. ESPB was utilized as a MesH term and terms such as: lumbar spinal stenosis, spondylolisthesis, decompression and lumbar spine surgery.

RESULTS

Studies demonstrate that ESPB are consistently found to be a safe and effective method of analgesia after lumbar surgery, with limited adverse effects.

CONCLUSION

ESPB appear to be an effective method to relieve pain after lumbar surgery. More RCTs will be needed to further investigate the clinical effectiveness of this intervention.

摘要

目的

评估竖脊肌平面阻滞(ESPB)在腰椎手术后应用的现有证据。

方法

检索数据库至2020年12月20日。将ESPB用作医学主题词,并使用诸如腰椎管狭窄、椎体滑脱、减压和腰椎手术等术语。

结果

研究表明,ESPB一直被认为是腰椎手术后一种安全有效的镇痛方法,不良反应有限。

结论

ESPB似乎是缓解腰椎手术后疼痛的有效方法。需要更多的随机对照试验来进一步研究这种干预措施的临床效果。

相似文献

1
The erector spinae plane block for analgesia after lumbar spine surgery: A systematic review.腰椎手术后竖脊肌平面阻滞用于镇痛的系统评价
J Orthop. 2021 Feb 18;24:145-150. doi: 10.1016/j.jor.2021.02.006. eCollection 2021 Mar-Apr.
2
Erector Spinae Plane Block for Lumbar Spinal Surgery: A Systematic Review.用于腰椎手术的竖脊肌平面阻滞:一项系统评价
J Pain Res. 2020 Jul 1;13:1611-1619. doi: 10.2147/JPR.S256205. eCollection 2020.
3
Efficacy and Safety of Erector Spinae Plane Block for Perioperative Pain Management in Lumbar Spinal Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.竖脊肌平面阻滞用于腰椎手术围手术期疼痛管理的有效性和安全性:一项随机对照试验的系统评价和荟萃分析
J Pain Res. 2023 May 3;16:1453-1475. doi: 10.2147/JPR.S402931. eCollection 2023.
4
Efficacy of erector spinae plane block on postoperative pain in patients undergoing lumbar spine surgery.竖脊肌平面阻滞对腰椎手术患者术后疼痛的疗效。
Eur Spine J. 2022 Jan;31(1):197-204. doi: 10.1007/s00586-021-07056-z. Epub 2021 Nov 20.
5
Erector spinae plane block for postoperative analgesia in spine surgery: a systematic review and meta-analysis.竖脊肌平面阻滞用于脊柱手术后的镇痛:系统评价和荟萃分析。
Eur Spine J. 2021 Nov;30(11):3137-3149. doi: 10.1007/s00586-021-06853-w. Epub 2021 May 13.
6
Analgesic efficacy of erector spinae plane block in lumbar spine surgery: A systematic review and meta-analysis.竖脊肌平面阻滞在腰椎手术中的镇痛效果:系统评价和荟萃分析。
J Clin Anesth. 2022 Jun;78:110647. doi: 10.1016/j.jclinane.2022.110647. Epub 2022 Jan 11.
7
Efficacy of Erector Spinae Plane Block for Analgesia in Thoracic Surgery: A Systematic Review and Meta-Analysis.竖脊肌平面阻滞用于胸外科手术镇痛的疗效:一项系统评价与Meta分析
J Cardiothorac Vasc Anesth. 2022 May;36(5):1387-1395. doi: 10.1053/j.jvca.2021.06.029. Epub 2021 Jun 29.
8
Erector spinae plane block at lower thoracic level for analgesia in lumbar spine surgery: A randomized controlled trial.下胸段竖脊肌平面阻滞用于腰椎手术镇痛:一项随机对照试验。
World J Clin Cases. 2021 Jul 6;9(19):5126-5134. doi: 10.12998/wjcc.v9.i19.5126.
9
Dexmedetomidine combined with ropivacaine for erector spinae plane block after posterior lumbar spine surgery: a randomized controlled trial.右美托咪定联合罗哌卡因用于后路腰椎手术后竖脊肌平面阻滞:一项随机对照试验。
BMC Musculoskelet Disord. 2022 Mar 11;23(1):235. doi: 10.1186/s12891-022-05198-9.
10
Postoperative Analgesic Efficacy of Erector Spinae Plane Block in Patients Undergoing Lumbar Spinal Surgery: A Systematic Review and Meta-Analysis.竖脊肌平面阻滞对腰椎手术患者的术后镇痛效果:一项系统评价与Meta分析
Pain Ther. 2021 Jun;10(1):333-347. doi: 10.1007/s40122-021-00256-x. Epub 2021 Apr 7.

引用本文的文献

1
Fluoroscopy-Guided Erector Spinae Plane Block Reduces Early Postoperative Pain Following Lumbar Fusion: A Randomized Controlled Trial.透视引导下竖脊肌平面阻滞可减轻腰椎融合术后早期疼痛:一项随机对照试验。
Global Spine J. 2025 Sep 6:21925682251378470. doi: 10.1177/21925682251378470.
2
Comparison of quadro-iliac plane block and erector spinae plane block for postoperative analgesia management after single level lumbar discectomy surgery: a randomized, double-blind, controlled, prospective, multicenter study.四级髂平面阻滞与竖脊肌平面阻滞用于单节段腰椎间盘切除术后镇痛管理的比较:一项随机、双盲、对照、前瞻性、多中心研究。
J Anesth. 2025 Jul 21. doi: 10.1007/s00540-025-03556-0.
3
Multimodal Regional Anesthesia Combining Spinal and Erector Spinae Plane Block for Spine Surgery in a High-Risk Patient with Systemic Sclerosis: A Case Report.多模式区域麻醉联合脊髓麻醉和竖脊肌平面阻滞用于系统性硬化症高危患者的脊柱手术:一例报告
Anesth Pain Med. 2025 Mar 29;15(2):e160051. doi: 10.5812/aapm-160051. eCollection 2025 Apr 30.
4
The Utilization of Ultrasound-Guided Regional Nerve Blocks in Anesthetic Management for Fracture Surgery.超声引导下区域神经阻滞在骨折手术麻醉管理中的应用
J Pain Res. 2025 Jan 20;18:353-366. doi: 10.2147/JPR.S492151. eCollection 2025.
5
Efficacy of erector spine plane block in two different approaches to lumbar spinal fusion surgery: a retrospective pilot study.竖脊肌平面阻滞在两种不同腰椎融合手术入路中的疗效:一项回顾性前瞻性研究。
Front Med (Lausanne). 2024 Feb 14;11:1330446. doi: 10.3389/fmed.2024.1330446. eCollection 2024.
6
Assessment of Analgesic Efficacy of Bilateral Lumbar Erector Spinae Plane Block for Postoperative Pain following Lumbar Laminectomy: A Single-Blind, Randomized Clinical Trial.评价双侧腰椎竖脊肌平面阻滞对腰椎板切除术术后疼痛的镇痛效果:一项单盲、随机临床试验。
Pain Res Manag. 2023 Dec 28;2023:5813798. doi: 10.1155/2023/5813798. eCollection 2023.
7
The efficacy of ultrasound-guided erector spinae plane block (ESPB) versus freehand ESPB in postoperative pain management after lumbar spinal fusion surgery: a randomized, non-inferiority trial.超声引导竖脊肌平面阻滞(ESPB)与腰后路融合术后自由手 ESPB 用于术后疼痛管理的疗效比较:一项随机、非劣效性试验。
Eur Spine J. 2024 Mar;33(3):1081-1088. doi: 10.1007/s00586-023-08101-9. Epub 2024 Jan 3.
8
The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) levels following erector spinae plane block (ESPB) in posterior lumbar decompression: a randomized, controlled trial.后路腰椎减压术后竖脊肌平面阻滞(ESPB)后中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)的变化:一项随机对照试验。
Eur Spine J. 2023 Dec;32(12):4192-4199. doi: 10.1007/s00586-023-07913-z. Epub 2023 Sep 5.
9
Utility of Ultrasound-Guided Erector Spinae Plane Blocks for Postoperative Pain Management Following Thoracolumbar Spinal Fusion Surgery.超声引导下竖脊肌平面阻滞在胸腰椎脊柱融合术后疼痛管理中的应用
J Pain Res. 2023 Aug 16;16:2835-2845. doi: 10.2147/JPR.S419682. eCollection 2023.
10
The Efficacy of Erector Spinae Plane Block for Patients Undergoing Percutaneous Nephrolithotomy.竖脊肌平面阻滞对经皮肾镜取石术患者的疗效
Turk J Anaesthesiol Reanim. 2023 Jun 16;51(3):179-187. doi: 10.4274/TJAR.2022.22981.

本文引用的文献

1
Replacement of Fascia Iliaca Catheters with Continuous Erector Spinae Plane Blocks Within a Clinical Pathway Facilitates Early Ambulation After Total Hip Arthroplasty.临床路径中采用连续竖脊肌平面阻滞替换股外侧肌导管有助于全髋关节置换术后早期活动。
Pain Med. 2020 Oct 1;21(10):2423-2429. doi: 10.1093/pm/pnaa243.
2
Rhomboid Intercostal Block for Breast Surgery: An Alternative to the Erector Spinae Plane Block?菱形肌肋间阻滞用于乳腺手术:竖脊肌平面阻滞的替代方法?
Turk J Anaesthesiol Reanim. 2020 Aug;48(4):346-347. doi: 10.5152/TJAR.2020.46158. Epub 2020 Jan 18.
3
Erector Spinae Plane Block in Laparoscopic Cholecystectomy, Is There a Difference? A Randomized Controlled Trial.腹腔镜胆囊切除术中竖脊肌平面阻滞:有差异吗?一项随机对照试验。
Anesth Essays Res. 2020 Jan-Mar;14(1):119-126. doi: 10.4103/aer.AER_144_19. Epub 2020 Feb 3.
4
Erector Spinae Plane Block for Lumbar Spinal Surgery: A Systematic Review.用于腰椎手术的竖脊肌平面阻滞:一项系统评价
J Pain Res. 2020 Jul 1;13:1611-1619. doi: 10.2147/JPR.S256205. eCollection 2020.
5
Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy: A prospective randomized controlled trial.超声引导下竖脊肌平面阻滞用于小儿脾切除术后镇痛:一项前瞻性随机对照试验。
Paediatr Anaesth. 2019 Dec;29(12):1201-1207. doi: 10.1111/pan.13758. Epub 2019 Nov 8.
6
Lumbar spine surgery across 15 years: trends, complications and reoperations in a longitudinal observational study from Norway.15 年的腰椎手术:挪威一项纵向观察研究中的趋势、并发症和再次手术。
BMJ Open. 2019 Aug 1;9(8):e028743. doi: 10.1136/bmjopen-2018-028743.
7
What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review.最佳实践的肌肉骨骼疼痛护理是怎样的?11 项高质量临床实践指南的一致性建议:系统评价。
Br J Sports Med. 2020 Jan;54(2):79-86. doi: 10.1136/bjsports-2018-099878. Epub 2019 Mar 2.
8
The erector spinae plane (ESP) block: A pooled review of 242 cases.竖脊肌平面(ESP)阻滞:242 例汇总分析。
J Clin Anesth. 2019 Mar;53:29-34. doi: 10.1016/j.jclinane.2018.09.036. Epub 2018 Oct 3.
9
Trends in Lumbar Fusion Procedure Rates and Associated Hospital Costs for Degenerative Spinal Diseases in the United States, 2004 to 2015.美国 2004 年至 2015 年退行性脊柱疾病腰椎融合术率及相关医院费用的变化趋势。
Spine (Phila Pa 1976). 2019 Mar 1;44(5):369-376. doi: 10.1097/BRS.0000000000002822.
10
Opioid Utilization Following Lumbar Arthrodesis: Trends and Factors Associated With Long-term Use.腰椎关节融合术后阿片类药物的使用:长期使用的趋势和相关因素。
Spine (Phila Pa 1976). 2018 Sep 1;43(17):1208-1216. doi: 10.1097/BRS.0000000000002734.