收肌管阻滞与股神经阻滞在自体骨-腱-骨重建前交叉韧带后镇痛疗效的对比:一项Meta分析

R459.9%R363%R605; 目的:收肌管阻滞和股神经阻滞是前交叉韧带重建术后常见的镇痛方法.文章系统评价收肌管阻滞与股神经阻滞在取自体骨-腱-骨重建前交叉韧带术后镇痛中的疗效差异.方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、Google Scholar、中国知网、万方和维普数据库建库至2020-10-31关于股神经阻滞和收肌管在交叉韧带重建后镇痛中的随机对照临床试验.用Cochrane风险偏倚表评估纳入文献的质量.用RevMan 5.3软件进行Meta分析,评价指标包括主要的目测类比评分、阿片类物质消耗量和并发症.结果:①...

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Published in中国组织工程研究 Vol. 26; no. 2; pp. 315 - 320
Main Authors 刁玉磊, 宗小锐, 邓志博, 舒涵
Format Journal Article
LanguageChinese
Published 重庆医科大学附属第二医院骨科,重庆市400010 2022
Subjects
软组织;前交叉韧带;内收肌管;修复;阻滞;隐神经;股神经;疼痛;Meta分析
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ISSN2095-4344

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Abstract R459.9%R363%R605; 目的:收肌管阻滞和股神经阻滞是前交叉韧带重建术后常见的镇痛方法.文章系统评价收肌管阻滞与股神经阻滞在取自体骨-腱-骨重建前交叉韧带术后镇痛中的疗效差异.方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、Google Scholar、中国知网、万方和维普数据库建库至2020-10-31关于股神经阻滞和收肌管在交叉韧带重建后镇痛中的随机对照临床试验.用Cochrane风险偏倚表评估纳入文献的质量.用RevMan 5.3软件进行Meta分析,评价指标包括主要的目测类比评分、阿片类物质消耗量和并发症.结果:①纳入6篇随机对照试验文献,共506例患者,对照组251例采用股神经阻滞,干预组255例采用收肌管阻滞,文献质量较高;②Meta分析结果显示,与对照组相比,干预组仅在降低术后48 h的目测类比评分方面稍有优势(MD=0.65,95％CI:0.10-1.20,P＜0.05),但两组患者的术后0,6,12,18,24 h的目测类比评分,以及术后0,24,48 h吗啡消耗量差异均无显著性意义(P＞0.05),两组深静脉血栓、前交叉韧带再断裂、膝前区疼痛、膝关节伸直功能缺陷、股四头肌肌力下降和跌倒风险等并发症均较少,证明安全性较高.结论:①股神经阻滞和收肌管阻滞在术后镇痛效果方面基本无显著性差异,但未来还需要大样本随机对照试验结果来证实;②考虑到收肌管阻滞对股四头肌肌力抑制较小,且无明显并发症,因此作者临床中建议使用收肌管阻滞.
AbstractList R459.9%R363%R605; 目的:收肌管阻滞和股神经阻滞是前交叉韧带重建术后常见的镇痛方法.文章系统评价收肌管阻滞与股神经阻滞在取自体骨-腱-骨重建前交叉韧带术后镇痛中的疗效差异.方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、Google Scholar、中国知网、万方和维普数据库建库至2020-10-31关于股神经阻滞和收肌管在交叉韧带重建后镇痛中的随机对照临床试验.用Cochrane风险偏倚表评估纳入文献的质量.用RevMan 5.3软件进行Meta分析,评价指标包括主要的目测类比评分、阿片类物质消耗量和并发症.结果:①纳入6篇随机对照试验文献,共506例患者,对照组251例采用股神经阻滞,干预组255例采用收肌管阻滞,文献质量较高;②Meta分析结果显示,与对照组相比,干预组仅在降低术后48 h的目测类比评分方面稍有优势(MD=0.65,95％CI:0.10-1.20,P＜0.05),但两组患者的术后0,6,12,18,24 h的目测类比评分,以及术后0,24,48 h吗啡消耗量差异均无显著性意义(P＞0.05),两组深静脉血栓、前交叉韧带再断裂、膝前区疼痛、膝关节伸直功能缺陷、股四头肌肌力下降和跌倒风险等并发症均较少,证明安全性较高.结论:①股神经阻滞和收肌管阻滞在术后镇痛效果方面基本无显著性差异,但未来还需要大样本随机对照试验结果来证实;②考虑到收肌管阻滞对股四头肌肌力抑制较小,且无明显并发症,因此作者临床中建议使用收肌管阻滞.
Author 刁玉磊
舒涵
宗小锐
邓志博
AuthorAffiliation 重庆医科大学附属第二医院骨科,重庆市400010
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Author_FL Zong Xiaorui
Diao Yulei
Deng Zhibo
Shu Han
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  fullname: 宗小锐
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  fullname: 邓志博
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  fullname: 舒涵
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Keywords 软组织;前交叉韧带;内收肌管;修复;阻滞;隐神经;股神经;疼痛;Meta分析
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Snippet R459.9%R363%R605; 目的:收肌管阻滞和股神经阻滞是前交叉韧带重建术后常见的镇痛方法.文章系统评价收肌管阻滞与股神经阻滞在取自体骨-腱-骨重建前交叉韧带术后镇痛中的疗效差异.方法:计算机检索PubMed、EMbase、Cochrane Library、Web of Science、Google...
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Title 收肌管阻滞与股神经阻滞在自体骨-腱-骨重建前交叉韧带后镇痛疗效的对比:一项Meta分析
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