The analgesic effect of erector spinae plane block in thoracic surgery: a systematic review and meta-analysis of randomized controlled trials

作者全名："Li, Yi; Hou, You-Ling; Guan, Hong-Yu; Luo, Hong-Xia"

作者地址："[Li, Yi; Hou, You-Ling; Guan, Hong-Yu; Luo, Hong-Xia] Chongqing Med Univ, Yongchuan Affiliated Hosp, Dept Anesthesiol, Chongqing 402160, Peoples R China"

通信作者："Luo, HX (通讯作者)，Chongqing Med Univ, Yongchuan Affiliated Hosp, Dept Anesthesiol, Chongqing 402160, Peoples R China."

来源：SIGNA VITAE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000948972700020

JCR分区：Q3

影响因子：1

年份：2023

卷号：19

期号：2

开始页：161

结束页：170

文献类型：Review

关键词：Erector spinae plane block; Thoracic surgery; Analgesia; Meta-analysis; Randomized controlled trial

摘要："The erector spinae plane block (ESPB) is a new analgesic technology that came out for the first time in 2016. Some studies have shown that it can provide effective analgesia in thoracic surgery. This systematic review and meta-analysis is to evaluate the analgesic effect of ESPB in patients undergoing thoracic surgery. Embase, PubMed, The Cochrane Library, VIP database, CNKI, Wanfang database, CBM, were systematically searched, from 2010 to December, 2020. Randomised controlled trials (RCTs) were included to assess the analgesic effect of the ESPB in thoracic surgery. Eighteen studies with a total of 1303 patients were included. ESPB group reduced postoperative 48-hour pain scores at rest or movement at different time points compared with the control group. ESPB group also showed lower incidence of postoperative nausea and vomiting (PONV) (odds ratio, OR = 0.48, 95% CI = 0.33 0.71, P < 0.05). ESPB group were better at the number of patient-controlled intravenous analgesia (PCIA) pressing times (mean difference, MD = -6.83, 95% CI = -8.73 -4.94, P < 0.05). This review has shown that compared with simple general anesthesia (GA), GA combined with ESPB significantly decreases postoperative pain, PONV and opioids requirements following thoracic surgery."

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