Efficacy of postoperative local incision infiltration versus epidural analgesia in patients undergoing hepatectomy: a meta-analysis
10.3760/cma.j.issn.0254-1416.2019.07.016
- VernacularTitle:术后切口局部浸润与硬膜外镇痛用于肝切除术患者效果的比较:meta分
- Author:
Xiaoyun XUE
1
;
Xiaoyan ZHI
;
Jun MA
;
Yi TIAN
;
Shenglong DONG
;
Yan LI
Author Information
1. 中南大学湘雅医学院附属海口医院海口市人民医院麻醉与疼痛医学科 570208
- Keywords:
Surgical wound;
Analgesia;
Analgesia,epidural;
Hepatectomy;
Meta-analysis
- From:
Chinese Journal of Anesthesiology
2019;39(7):831-834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically compare the efficacy of postoperative local incision infiltration and epidural analgesia in the patients undergoing hepatectomy.Methods The Chinese and English databases were searched in November 2017.The clinical trials involving application of local incision infiltration and epidural analgesia in postoperative analgesia in the patients undergoing hepatectomy were included.Results Five studies involving 827 patients were included in this meta-analysis,598 cases received local incision infiltration and 229 cases received epidural analgesia.The results of meta-analysis showed that epidural analgesia provided better efficacy than local incision infiltration during movement at 24 and 48 h after operation.The incidence of adverse reactions was significantly lower in the patients who received local incision infiltration after operation than those who underwent epidural analgesia.The descriptive results indicated that local incision infiltration can shorten the recovery time of intestinal function and length of hospital stay.The results of opioid doses studied in the two groups were inconsistent.Conclusion Epidural analgesia has an advantage over the local incision infiltration in relieving pain during movement,however,local incision infiltration has a lower incidence of adverse reactions in the patients undergoing hepatectomy.
