Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (4): 640-645.doi: 10.12307/2022.960
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Xu Yangyang1, He Peiliang2, Meng Qingqi2, Li Siming1, 2
Received:
2021-11-26
Accepted:
2022-01-22
Online:
2023-02-08
Published:
2022-06-23
Contact:
Li Siming, MD, Chief physician, Doctoral supervisor, Guizhou Medical University, Guiyang 550025, Guizhou Province, China; Guangzhou Red Cross Hospital, Jinan University, Guangzhou 510220, Guangdong Province, China
About author:
Xu Yangyang, Master candidate, Physician, Guizhou Medical University, Guiyang 550025, Guizhou Province, China
CLC Number:
Xu Yangyang, He Peiliang, Meng Qingqi, Li Siming. A meta-analysis of the effects of continuous adductor canal block and continuous femoral nerve block on early activity after knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(4): 640-645.
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2.2 Meta分析结果 2.2.1 膝关节置换后疼痛评分 (1)关节置换后膝关节静息痛目测类比评分法/数字评分法得分:因为目测类比评分法和数字评分法是2个类似的疼痛评分系统,所以作者将这些系统的评分合并为一个结果进行分析。7项文献研究报告了533例膝关节置换后12 h内的疼痛评分[10-11,13-14,16-18],各研究有显著异质性 (P < 0.000 01,I2=94%),采用随机效应模型分析数据显示两组之间无显著差异(MD=-0.02;95%CI:-0.77-0.72;P=0.95),见图6。5项研究评估184例膝关节置换后24 h内的疼痛评分[10,14,16-18],各研究之间有显著异质性(P < 0.000 01,I2=94%),采用随机效应模式行Meta分析,数据显示两组之间无显著差异(MD=1.00;95%CI: -0.36-2.37;P=0.15),见图7。6项研究报告了493例膝关节置换后48 h的疼痛评分[10-11,13-14,16,18],各研究之间有较大异质性(P=0.03,I2=60%),采用随机效应模式行Meta分析,数据显示两组之间无显著差异(MD=-0.21;95%CI:-0.50-0.08;P=0.15),见图8。 "
(2) 关节置换后膝关节活动痛目测类比评分法/数字评分法评分:5项文献报告了204例全膝关节置换后24 h内活动时疼痛评分[10-11,16-18],各研究之间无异质性(P=0.44,I2=0%),采用固定效应模式行Meta分析,数据显示两组之间无显著差异(MD=0.11;95%CI:-0.16-0.39;P=0.43),见图9。有4项文献报告了260例全膝关节置换后48 h活动时疼痛评分[10-11,16,18],各研究之间没有异质性(P=0.57,I2=0%),采用固定效应模式行Meta分析,数据显示两组之间无显著差异(MD=-0.14;95%CI:-0.38-0.11;P= 0.28),见图10。 "
[1] CRAM P, LU X, KATES SL, et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA. 2012;308(12):1227-1236. [2] ANDERSEN LØ, GAARN-LARSEN L, KRISTENSEN BB, et al. Subacute pain and function after fast-track hip and knee arthroplasty. Anaesthesia. 2009;64(5):508-513. [3] GAO F, MA J, SUN W, et al. Adductor Canal Block Versus Femoral Nerve Block for Analgesia After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. Clin J Pain. 2017; 33(4):356-368. [4] JÆGER P, ZARIC D, FOMSGAARD JS, et al.Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty: a randomized, double-blind study. Reg Anesth Pain Med. 2013;38(6):526-532. [5] HANSON NA, ALLEN CJ, HOSTETTER LS, et al. Continuous ultrasound-guided adductor canal block for total knee arthroplasty: a randomized, double-blind trial. Anesth Analg. 2014;118(6):1370-1377. [6] LI D, YANG Z, XIE X, et al. Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block: a systematic review and meta-analysis. Int Orthop. 2016;40(5):925-933. [7] ZHAO XQ, JIANG N, YUAN FF, et al. The comparison of adductor canal block with femoral nerve block following total knee arthroplasty: a systematic review with meta-analysis. J Anesth. 2016;30(5):745-754. [8] MEMTSOUDIS SG, YOO D, STUNDNER O, et al. Subsartorial adductor canal vs femoral nerve block for analgesia after total knee replacement. Int Orthop. 2015;39(4):673-680. [9] GREVSTAD U, MATHIESEN O, VALENTINER LS, et al. Effect of adductor canal block versus femoral nerve block on quadriceps strength, mobilization, and pain after total knee arthroplasty: a randomized, blinded study. Reg Anesth Pain Med. 2015;40(1):3-10. [10] ZHANG W, HU Y, TAO Y, et al. Ultrasound-guided continuous adductor canal block for analgesia after total knee replacement. Chin Med J (Engl). 2014;127(23):4077-4081. [11] SHAH NA, JAIN NP. Is continuous adductor canal block better than continuous femoral nerve block after total knee arthroplasty? Effect on ambulation ability, early functional recovery and pain control: a randomized controlled trial. J Arthroplasty. 2014;29(11):2224-2229. [12] KIM DH, LIN Y, GOYTIZOLO EA, et al. Adductor canal block versus femoral nerve block for total knee arthroplasty: a prospective, randomized, controlled trial. Anesthesiology. 2014;120(3):540-550. [13] CHUAN A, LANSDOWN A, BRICK KL, et al. Adductor canal versus femoral triangle anatomical locations for continuous catheter analgesia after total knee arthroplasty: a multicentre randomised controlled study. Br J Anaesth. 2019;123(3):360-367. [14] MACHI AT, SZTAIN JF, KORMYLO NJ, et al. Discharge Readiness after Tricompartment Knee Arthroplasty: Adductor Canal versus Femoral Continuous Nerve Blocks-A Dual-center, Randomized Trial. Anesthesiology. 2015;123(2):444-456. [15] BORYS M, DOMAGAŁA M, WENCŁAW K, et al. Continuous femoral nerve block is more effective than continuous adductor canal block for treating pain after total knee arthroplasty: A randomized, double-blind, controlled trial. Medicine (Baltimore). 2019;98(39):e17358. [16] ELKASSABANY NM, ANTOSH S, AHMED M, et al. The Risk of Falls After Total Knee Arthroplasty with the Use of a Femoral Nerve Block Versus an Adductor Canal Block: A Double-Blinded Randomized Controlled Study. Anesth Analg. 2016;122(5):1696-1703. [17] WIESMANN T, PIECHOWIAK K, DUDERSTADT S, et al. Continuous adductor canal block versus continuous femoral nerve block after total knee arthroplasty for mobilisation capability and pain treatment: a randomised and blinded clinical trial. Arch Orthop Trauma Surg. 2016; 136(3):397-406. [18] 赵旻暐,王宁,曾琳,等.膝关节置换术后连续收肌管阻滞与股神经阻滞的疗效比较[J].北京大学学报(医学版),2017,49(1):142-147. [19] KARLSEN AP, WETTERSLEV M, HANSEN SE, et al. Postoperative pain treatment after total knee arthroplasty: A systematic review. PLoS One. 2017;12(3):e0173107. [20] LI S, ZHOU J, LI X, et al. Analgesic Impact of Single-Shot Versus Continuous Femoral Nerve Block After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis. Adv Ther. 2020;37(2):671-685. [21] ANGERS M, BELZILE ÉL, VACHON J, et al. Negative Influence of femoral nerve block on quadriceps strength recovery following total knee replacement: A prospective randomized trial. Orthop Traumatol Surg Res. 2019;105(4):633-637. [22] BOLARINWA SA, NOVICOFF W, CUI Q. Reducing costly falls after total knee arthroplasty. World J Orthop. 2018;9(10):198-202. [23] TURBITT LR, MCHARDY PG, CASANOVA M, et al. Analysis of Inpatient Falls After Total Knee Arthroplasty in Patients With Continuous Femoral Nerve Block. Anesth Analg. 2018; 127(1):224-227. [24] KUANG MJ, MA JX, FU L, et al. Is Adductor Canal Block Better Than Femoral Nerve Block in Primary Total Knee Arthroplasty? A GRADE Analysis of the Evidence Through a Systematic Review and Meta-Analysis. J Arthroplasty. 2017;32(10):3238-3248.e3. |
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