医学
荟萃分析
周围神经
外围设备
超声波
周围神经刺激
神经刺激
经皮神经电刺激
随机对照试验
刺激
神经阻滞
神经损伤
科克伦图书馆
周围神经损伤
麻醉
胫神经
神经刺激器
正中神经
坐骨神经
作者
Zhi-Xue Wang,De-Li Zhang,Xin-Wei Liu,Yan Li,Xiao-Xia Zhang,Ru-Hong Li
出处
期刊:Iubmb Life
[Wiley]
日期:2017-07-16
卷期号:69 (9): 720-734
被引量:1
摘要
Evidence was controversial about whether nerve stimulation (NS) can optimize ultrasound guidance (US)-guided nerve blockade for peripheral nerve block. This review aims to explore the effects of the two combined techniques. We searched EMBASE (from 1974 to March 2015), PubMed (from 1966 to Mar 2015), Medline (from 1966 to Mar 2015), the Cochrane Central Register of Controlled Trials and clinicaltrials.gov. Finally, 15 randomized trials were included into analysis involving 1,019 lower limb and 696 upper limb surgery cases. Meta-analysis indicated that, compared with US alone, USNS combination had favorable effects on overall block success rate (risk ratio [RR] 1.17; confidence interval [CI] 1.05 to 1.30, P = 0.004), sensory block success rate (RR 1.56; CI 1.29 to 1.89, P < 0.00001), and block onset time (mean difference [MD] -3.84; CI -5.59 to -2.08, P < 0.0001). USNS guidance had a longer procedure time in both upper and lower limb nerve block (MD 1.67; CI 1.32 to 2.02, P < 0.00001; MD 1.17; CI 0.95 to 1.39, P < 0.00001) and more patients with anesthesia supplementation (RR 2.5; CI 1.02 to 6.13, P = 0.05). USNS guidance trends to result in a shorter block onset time than US alone as well as higher block success rate, but no statistical difference was demonstrated, as more data are required. © 2017 IUBMB Life, 69(9):720-734, 2017.
科研通智能强力驱动
Strongly Powered by AbleSci AI