目的采用网状Meta分析系统评价不同镇痛方法用于髋部或股骨干骨折患者椎管内麻醉摆放体位时的镇痛效果。方法计算机检索PubMed、Cochrane Library、Web of Science、EMbase、中国生物医学文献数据库(CBM)、中国知网、维普、万方,检索时...目的采用网状Meta分析系统评价不同镇痛方法用于髋部或股骨干骨折患者椎管内麻醉摆放体位时的镇痛效果。方法计算机检索PubMed、Cochrane Library、Web of Science、EMbase、中国生物医学文献数据库(CBM)、中国知网、维普、万方,检索时间为建库至2022年8月,纳入髋部或股骨干骨折患者摆放体位和椎管内麻醉时实施镇痛的随机对照研究。由两名研究员独立进行文献筛选、资料提取和偏倚风险评价,采用Stata 17.0和RevMan 5.3软件进行统计分析。结果共纳入28篇文献,患者1773例。累计排序概率曲线下面积(SUCRA)显示,降低摆放体位时VAS疼痛评分PENG阻滞(94.4%)效果最佳,其次是FIB联合IVA(83.8%)和FIB(71.1%);降低椎管内麻醉时VAS疼痛评分PENG阻滞(98.2%)效果最佳,其次是FIB(71.1%)和FNB(55.6%);缩短椎管内麻醉操作时间PENG阻滞(84.1%)效果最佳,其次是FNB(70.7%)和FIB(68.5%);升高体位摆放质量评分PENG阻滞(99.1%)效果最佳,其次是FIB(73.1%)和FNB(52.9%)。结论神经阻滞或神经阻滞联合IVA可降低髋部或股骨干骨折患者体位摆放和椎管内麻醉时VAS疼痛评分、缩短麻醉操作时间和升高体位摆放质量评分。PENG阻滞对髋部或股骨干骨折患者摆放体位和椎管内麻醉时实施镇痛的效果最佳。展开更多
吊床体位是基于仿生学原理,模拟母亲子宫环境而有益于婴儿的一种物理体位。目前,国外广泛开展吊床体位应用于早产儿的研究,而国内对此关注较少。本文综述了NICU开展吊床体位的临床实践以及在早产儿中的应用效果,同时分析了国内开展吊床...吊床体位是基于仿生学原理,模拟母亲子宫环境而有益于婴儿的一种物理体位。目前,国外广泛开展吊床体位应用于早产儿的研究,而国内对此关注较少。本文综述了NICU开展吊床体位的临床实践以及在早产儿中的应用效果,同时分析了国内开展吊床体位可能面临的困难与挑战,并提出相应建议,旨在为国内开展相关研究提供参考依据。Hammock position is a kind of physical position based on the principle of bionics, which simulates the environment of the mother’s womb and is beneficial to the baby. At present, hammock position has been widely used in premature infants abroad, but less attention has been paid to it in China. In this paper, the clinical practice and application effect of NICU hammock position in premature infants were reviewed, and the possible difficulties and challenges in carrying out hammock position in China were analyzed, and corresponding suggestions were put forward in order to provide reference for relevant research in China.展开更多
文摘吊床体位是基于仿生学原理,模拟母亲子宫环境而有益于婴儿的一种物理体位。目前,国外广泛开展吊床体位应用于早产儿的研究,而国内对此关注较少。本文综述了NICU开展吊床体位的临床实践以及在早产儿中的应用效果,同时分析了国内开展吊床体位可能面临的困难与挑战,并提出相应建议,旨在为国内开展相关研究提供参考依据。Hammock position is a kind of physical position based on the principle of bionics, which simulates the environment of the mother’s womb and is beneficial to the baby. At present, hammock position has been widely used in premature infants abroad, but less attention has been paid to it in China. In this paper, the clinical practice and application effect of NICU hammock position in premature infants were reviewed, and the possible difficulties and challenges in carrying out hammock position in China were analyzed, and corresponding suggestions were put forward in order to provide reference for relevant research in China.
