Zhang Wei, Guo Zhiying, Hou Xiaosai, Han Chaoqian, Wang Zhentang
Department of Cardiology, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Department of Ultrasonography, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Medicine (Baltimore). 2025 Jul 18;104(29):e43094. doi: 10.1097/MD.0000000000043094.
The impact of interscalene block versus costoclavicular block on the analgesia for arthroscopic shoulder surgery is unclear, and this meta-analysis aims to study the analgesic efficacy of interscalene block versus costoclavicular block for arthroscopic shoulder surgery.
We have searched several databases including PubMed, EMbase, Web of science, EBSCO and Cochrane library databases, and randomized controlled trials assessing the effect of interscalene block versus costoclavicular block for arthroscopic shoulder surgery were involved. This meta-analysis was conducted by the fixed-effect model or random-effect model based on the heterogeneity.
Four randomized controlled trials were included in this meta-analysis. For patient undergoing arthroscopic shoulder surgery, interscalene block and costoclavicular block demonstrated comparable pain scores at 30 minute (mean difference [MD] = 0; 95% confidence interval [CI] = -0.20 to 0.21; P = .96), pain scores at 1 hour (MD = -0.02; 95% CI = -0.22 to 0.19; P = .87), pain scores at 3 hour (MD = -0.04; 95% CI = -0.27 to 0.19; P = .73), pain scores at 6 hour (MD = -0.57; 95% CI = -1.77 to 0.63; P = .35), pain scores at 12 hour (MD = 0; 95% CI = -0.06 to 0.07; P = .93), pain scores at 24 hour (MD = 0; 95% CI = -0.06 to 0.07; P = .96), time to first rescue analgesia (MD = 76.67; 95% CI = -19.23 to 172.56; P = .12), nausea and vomiting (MD = 0.69; 95% CI = 0.36 to 1.32; P = .27).
Interscalene block and costoclavicular block are comparable to control the analgesia for arthroscopic shoulder surgery.
肌间沟阻滞与锁骨下阻滞对肩关节镜手术镇痛效果的影响尚不清楚，本荟萃分析旨在研究肌间沟阻滞与锁骨下阻滞用于肩关节镜手术的镇痛效果。
我们检索了多个数据库，包括PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库，纳入评估肌间沟阻滞与锁骨下阻滞用于肩关节镜手术效果的随机对照试验。本荟萃分析根据异质性采用固定效应模型或随机效应模型进行。
本荟萃分析纳入了四项随机对照试验。对于接受肩关节镜手术的患者，肌间沟阻滞和锁骨下阻滞在30分钟时的疼痛评分相当（平均差值[MD]=0；95%置信区间[CI]=-0.20至0.21；P=.96），1小时时的疼痛评分（MD=-0.02；95%CI=-0.22至0.19；P=.87），3小时时的疼痛评分（MD=-0.04；95%CI=-0.27至0.19；P=.73），6小时时的疼痛评分（MD=-0.57；95%CI=-1.77至0.63；P=.35），12小时时的疼痛评分（MD=0；95%CI=-0.06至0.07；P=.93），24小时时的疼痛评分（MD=0；95%CI=-0.06至0.07；P=.96），首次补救镇痛时间（MD=76.67；95%CI=-19.23至172.56；P=.12），恶心和呕吐（MD=0.69；95%CI=0.36至1.32；P=.27）。
肌间沟阻滞和锁骨下阻滞在控制肩关节镜手术镇痛方面效果相当。
