Effect of the Paravertebral Block on Chronic Postsurgical Pain After Thoracic Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

医学 随机对照试验 心胸外科 荟萃分析 麻醉 外科 入射(几何) 神经阻滞 优势比 内科学 光学 物理
作者
Hyo‐Seok Na,Chang‐Hoon Koo,Bon‐Wook Koo,Jung‐Hee Ryu,Hayoung Jo,Hyun‐Jung Shin
出处
期刊:Journal of Cardiothoracic and Vascular Anesthesia [Elsevier BV]
卷期号:37 (2): 252-260 被引量:6
标识
DOI:10.1053/j.jvca.2022.10.029
摘要

This study aimed to identify the benefits of thoracic paravertebral block (PVB) by focusing on its role in reducing chronic postsurgical pain (CPSP) after thoracic surgery.A systematic review and meta-analysis of randomized controlled trials (RCTs).Electronic databases, including PubMed, EMBASE, CENTRAL, Scopus, and Web of Science, were searched to identify studies.Patients undergoing thoracic surgeries.Paravertebral block for postoperative analgesia.A total of 1,028 adult patients from 10 RCTs were included in the final analysis. The incidence of CPSP at 3 months after surgery was not reduced in the PVB group compared with the no-block (odds ratio [OR] 0.59, 95% CI 0.34-1.04; p = 0.07; I2 = 6.96%) and other-block (OR 1.39, 95% CI 0.30-6.42; p = 0.67; I2 = 77.75%) groups. The PVB did not significantly reduce the incidence of CPSP after 6 months from surgery when compared with no block (OR 0.44, 95% CI 0.08-2.53; p = 0.36; I2 = 87.53%) and other blocks (OR 1.17, 95% CI 0.71-1.95; p = 0.93; I2 = 45.75%). The PVB significantly decreased postoperative pain at 24 and 48 hours at rest compared with the no- block group. The pain score was higher in the PVB group than in the other block groups 48 hours after surgery at rest.Thoracic PVB does not prevent CPSP after thoracic surgery. Further large RCTs are required to confirm and validate the authors' results.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
完美世界应助清爽猕猴桃采纳,获得10
1秒前
1秒前
123发布了新的文献求助20
1秒前
4秒前
量子星尘发布了新的文献求助10
6秒前
6秒前
传奇3应助姜雪采纳,获得30
7秒前
都是小儿卡通书完成签到,获得积分10
8秒前
9秒前
澡雪发布了新的文献求助10
9秒前
wanci应助123采纳,获得10
10秒前
JILIGULU完成签到,获得积分10
10秒前
jindui发布了新的文献求助10
13秒前
我爱学习发布了新的文献求助10
14秒前
16秒前
李三阳发布了新的文献求助10
16秒前
hj990806完成签到,获得积分10
18秒前
19秒前
123mmmm发布了新的文献求助10
21秒前
25秒前
Orange应助徐婷采纳,获得10
25秒前
冷静如柏完成签到,获得积分10
26秒前
28秒前
今后应助linli采纳,获得10
29秒前
30秒前
今后应助111采纳,获得10
30秒前
ding应助欣慰的乌冬面采纳,获得10
30秒前
ceci完成签到,获得积分10
32秒前
123完成签到,获得积分10
32秒前
今后应助我爱学习采纳,获得10
33秒前
lei029发布了新的文献求助10
33秒前
徐婷完成签到,获得积分10
33秒前
Versa完成签到,获得积分10
35秒前
jindui完成签到,获得积分10
35秒前
36秒前
37秒前
在水一方应助泡泡糖采纳,获得10
37秒前
annie完成签到,获得积分10
38秒前
今后应助科研通管家采纳,获得10
39秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975426
求助须知:如何正确求助?哪些是违规求助? 3519848
关于积分的说明 11199831
捐赠科研通 3256122
什么是DOI,文献DOI怎么找? 1798124
邀请新用户注册赠送积分活动 877386
科研通“疑难数据库(出版商)”最低求助积分说明 806305