超声引导下竖脊肌平面阻滞与腰方肌阻滞对腹部手术后疼痛影响的比较：系统评价和荟萃分析方案。

Comparison of the effects of ultrasound-guided quadratus lumborum block and erector spinae plane block on postoperative pain in abdominal surgeries: a protocol for systematic review and meta-analysis.

机构信息

Department of Anesthesiology, First People's Hospital of Tianshui City, Tianshui, China.

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.

出版信息

BMJ Open. 2024 Mar 25;14(3):e079849. doi: 10.1136/bmjopen-2023-079849.

DOI:10.1136/bmjopen-2023-079849

PMID:38531566

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10966778/

Abstract

INTRODUCTION

Ultrasound-guided quadratus lumborum block and erector spinae plane block are widely used for postoperative analgesia in adult patients undergoing abdominal surgeries. This protocol aims to compare the analgesic effects between ultrasound-guided quadratus lumborum block and erector spinae plane block on postoperative pain in abdominal surgeries.

METHODS AND ANALYSIS

Four databases, including PubMed, EMBASE, Web of Science and the Cochrane Central Register of Controlled Trials (CENTRAL), will be searched. Randomised controlled trials that compared the analgesic effects between ultrasound-guided quadratus lumborum block and erector spinae plane block on postoperative pain in adult patients will be identified. The primary outcomes are time to the first analgesic request and postoperative analgesic consumption over 24 hours. Secondary outcomes will include postoperative pain scores and the incidence of side effects. RevMan V.5.3 software will be used for data processing and statistical analysis. The Grading of Recommendation, Assessment, Development and Evaluation approach will be used to assess the evidence quality of outcomes.

ETHICS AND DISSEMINATION

Ethical approval is not required for this study. Results of this present study will be submitted to a peer-reviewed journal.

PROSPERO REGISTRATION NUMBER

CRD42023445802.

摘要

介绍

超声引导下竖脊肌平面阻滞和腰方肌阻滞被广泛用于腹部手术的成年患者术后镇痛。本方案旨在比较超声引导下竖脊肌平面阻滞和腰方肌阻滞在腹部手术后的镇痛效果。

方法和分析

将在包括 PubMed、EMBASE、Web of Science 和 Cochrane 中央对照试验注册中心（CENTRAL）在内的四个数据库中进行检索。将确定比较超声引导下竖脊肌平面阻滞和腰方肌阻滞在成年患者腹部手术后的镇痛效果的随机对照试验。主要结局是首次要求镇痛的时间和 24 小时内的术后镇痛消耗量。次要结局将包括术后疼痛评分和不良反应的发生率。RevMan V.5.3 软件将用于数据处理和统计分析。将使用推荐、评估、发展和评估方法（Grading of Recommendation, Assessment, Development and Evaluation approach）来评估结局的证据质量。