超声引导下的竖脊肌平面阻滞在成人腰椎术后的镇痛效果：Meta分析

锡武 杨, 晓婧 尉, 志学 王

摘要


目的：超声引导下的竖脊肌平面阻滞（Erector spinae plane block, ESPB）在腰椎术后镇痛效果在不同文献中得到的结论却仍存在争议，论文通过评估竖脊肌神经平面阻滞在腰椎术后早期疼痛治疗中的有效性及安全性，从而为临床术后镇痛提供建议及循证医学证据。方法：通过计算机在 PubMed、EMBASE、Web of Science 和 Cochrane 图书馆进行了系统检索，检索时间为 2016 年 1 月 1 日至今。结果：共纳入 8 篇 RCT 文献，结果显示超声引导的 ESPB 能够有效地降低术后 24 小时阿片类药物消耗量并不增加术后不良反应的发生率。结论：超声引导下的竖脊肌神经阻滞可有效地用于腰椎手术术后镇痛。

关键词


竖脊肌平面阻滞；竖脊肌阻滞；临床随机对照试验

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参考


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DOI: https://doi.org/10.12346/pmr.v4i3.6678

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