中国医药科学2025，Vol.15Issue(5)：163-167,5.DOI:10.20116/j.issn2095-0616.2025.05.38
椎旁神经阻滞对胸部微创术后患者疼痛缓解及快速康复效果的meta分析
Meta-analysis of the effect of paravertebral nerve block on pain relief and rapid recovery of patients after minimally invasive thoracic surgery
摘要
Abstract
Objective To study the effect of paravertebral nerve block on postoperative pain relief and rapid recovery in patients undergoing minimally invasive thoracic surgery.Methods Computerized search of Web of science,Clinical trail,PubMed,Embase,The Cochrane library,CNKI,Wanfang database,and VIP database,etc.,to extract the data of the studies that met the inclusion criteria,and divided them into the paravertebral group and the control group,and observe the indexes:postoperative visual analogue scale(VAS)pain score,postoperative analgesic drug use,analgesic-related adverse reactions,postoperative-related complications,and hospitalization days.Results A total of 13 articles and 1014 patients were included.In the experimental group,the postoperative pain scores were significantly reduced at 4 h(MD=-0.88,95%CI:-1.14--0.61,P<0.01),12 h(MD=-1.11,95%CI:-1.53--0.69,P<0.01),and 24 h(MD=-0.67,95%CI:-1.14--0.21,P<0.01).The incidence of analgesia-related adverse reaction rate was significantly reduced(RR=0.51,95%CI:0.36-0.72,P<0.01),the incidence of postoperative complications was significantly reduced(RR=0.53,95%CI:0.32-0.87,P<0.05),and the number of hospitalization days was significantly reduced(MD=-2.12,95%CI:-2.32--1.92,P<0.01).Conclusion Paravertebral nerve block is a relatively effective and safe form of analgesia after minimally invasive thoracic surgery,meeting the need for rapid postoperative recovery.关键词
胸部微创手术/椎旁神经阻滞/加速康复外科/随机对照试验/meta分析Key words
Minimally invasive thoracic surgery/Paravertebral nerve block/Accelerated rehabilitation surgery/Randomized controlled trial/Meta-analysis分类
医药卫生引用本文复制引用
李杰,张海平,李德生,孙清超,张力为..椎旁神经阻滞对胸部微创术后患者疼痛缓解及快速康复效果的meta分析[J].中国医药科学,2025,15(5):163-167,5.基金项目
省部共建中亚高发病成因与防治国家重点实验室开放课题资助项目(SKL-HIDCA-2020-SG5) （SKL-HIDCA-2020-SG5）
新疆医科大学第一附属医院卓越人才及创新团队培养项目. （）
