关键词: anesthesia hemorrhoid pudendal nerve block surgery visual analog scale

来  源:   DOI:10.3389/fmed.2023.1283512   PDF(Pubmed)

Abstract:
UNASSIGNED: Pudendal nerve block (PNB) is a commonly used anesthesia method that has been widely used in postoperative analgesia for hemorrhoids in recent years. Therefore, we conducted a systematic review and meta-analysis of double-blind randomized controlled trials (RCTs) to analyze the effectiveness of PNB in postoperative analgesia for hemorrhoids.
UNASSIGNED: Relevant data and studies published from inception until August 14, 2023, were retrieved from PubMed, Embase, and Web of Science to evaluate the beneficial effects of PNB for analgesia following hemorrhoidectomy.
UNASSIGNED: This meta-analysis included 6 double-blind RCTs comprising 501 patients. We evaluated the function of PNB in improving outcomes of postoperative analgesia of hemorrhoids. Visual analogue scale (VAS) scores on postoperative within 6 h (MD, -3.04; 95% CI, -4.13 to -1.95; P < 0.0001), 12 h (MD, -3.14; 95% CI, -3.87 to -2.40; P < 0.0001), and 24 h (MD, -2.25; 95% CI, -2.95 to -1.55; P < 0.0001) were enhanced by the application of PNB, but not in 48 h (MD, -2.54; 95% CI, -5.29 to 0.20; P = 0.07).
UNASSIGNED: Pudendal nerve block (PNB) could effectively relieve postoperative pain of hemorrhoids. However, our results still need to be confirmed by multi-center clinical studies.
摘要:
阴部神经阻滞(PNB)是一种常用的麻醉方法,近年来已广泛用于痔疮的术后镇痛。因此,我们对双盲随机对照试验(RCT)进行了系统评价和荟萃分析,以分析PNB在痔疮术后镇痛中的有效性.
从成立到2023年8月14日发表的相关数据和研究是从PubMed检索的,Embase,和WebofScience评估PNB用于痔疮切除术后镇痛的有益效果。
该荟萃分析包括6个包含501名患者的双盲随机对照试验。我们评估了PNB在改善痔疮术后镇痛效果方面的功能。术后6小时内视觉模拟评分(VAS)评分(MD,-3.04;95%CI,-4.13至-1.95;P<0.0001),12小时(MD,-3.14;95%CI,-3.87至-2.40;P<0.0001),和24小时(MD,-2.25;95%CI,-2.95至-1.55;P<0.0001)通过应用PNB增强,但不是在48小时内(MD,-2.54;95%CI,-5.29至0.20;P=0.07)。
阴部神经阻滞(PNB)能有效缓解痔疮术后疼痛。然而,我们的结果仍需要多中心临床研究的证实.
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