腹腔镜肾切除术中的竖脊肌肌间沟阻滞和腹横肌平面阻滞：一项荟萃分析。
Quadratus lumborum block and transversus abdominis plane block in laparoscopic nephrectomy: a meta-analysis.
机构信息
Department of Anaesthesiology, Ziauddin University, Clifton, Karachi, Sindh, 75000, Pakistan.
Department of Surgery, Radboud University Medical Center, 6525 GA, Nijmegen, The Netherlands.
出版信息
Pain Manag. 2023 Sep;13(9):555-567. doi: 10.2217/pmt-2023-0033. Epub 2023 Sep 18.
To study the efficacy of quadratus lumborum block (QLB) and transversus abdominis plane (TAP) in laparoscopic nephrectomy patients. We conducted a meta-analysis of randomized controlled trials for QLB and/or TAP technique compared with each other or a control. Direct analysis of 24 h post-op pain score at rest for each compared with control showed significant reduction, QLB (mean differences [MD] [95% CI]: -1.12 [-1.87,-0.36]; p = 0.004) and TAP (MD [95% CI]: -0.36 [-0.59, -0.12]; p = 0.003). With movement both were respectively lower than control QLB (MD [95% CI]: -1.12 [-1.51, -0.72]; p = <0.0001) and TAP (MD [95% CI]: -0.50 [-0.95, -0.05]; p = 0.03). Moreover, QLB demonstrated less risk 24 h of post-op nausea vomiting (PONV) versus control (PONV; risk ratios [RR] [95% CI]: 0.64 [0.45,0.90]; p = 0.01). TAP and QLB reduce pain scores compared with control, whereas only QLB reduces PONV compared with control.
研究竖脊肌平面阻滞（QLB）和腹横肌平面阻滞（TAP）在腹腔镜肾切除术中的疗效。我们对 QLB 和/或 TAP 技术与其他技术或对照组进行了随机对照试验的荟萃分析。直接分析每个与对照组相比的 24 小时术后静息时疼痛评分，结果显示明显降低，QLB（平均差异 [MD] [95%CI]：-1.12 [-1.87，-0.36]；p = 0.004）和 TAP（MD [95%CI]：-0.36 [-0.59，-0.12]；p = 0.003）。活动时，两者均低于对照组 QLB（MD [95%CI]：-1.12 [-1.51，-0.72]；p <0.0001）和 TAP（MD [95%CI]：-0.50 [-0.95，-0.05]；p = 0.03）。此外，QLB 与对照组相比，术后 24 小时恶心呕吐（PONV）的风险更低（PONV；风险比 [RR] [95%CI]：0.64 [0.45，0.90]；p = 0.01）。与对照组相比，QLB 和 TAP 均能降低疼痛评分，而只有 QLB 能降低 PONV 与对照组相比。
Zotero 插件