CAJ | 학술논문

计算机检索比较关节置换术患者椎管内麻醉和全身麻醉效果的临床随机对照试验,文献检索至2008年10月,并发症包括深静脉血栓、肺栓塞、硬膜外血肿.采用Cochrane协作网提供的RevMan 5.0统计软件行Meta分析.共纳入12项前瞻性临床随机对照研究,1023例患者.Meta分析结果显示,对于围术期未行抗凝治疗的关节置换术患者,椎管内麻醉较全身麻醉可降低术后深静脉血栓和肺栓塞的发生率,而抗凝治疗后发生率无差异;无论是否行抗凝治疗,采用该两种麻醉方法后均未并发硬膜外血肿.
계산궤검색비교관절치환술환자추관내마취화전신마취효과적림상수궤대조시험,문헌검색지2008년10월,병발증포괄심정맥혈전、폐전새、경막외혈종.채용Cochrane협작망제공적RevMan 5.0통계연건행Meta분석.공납입12항전첨성림상수궤대조연구,1023례환자.Meta분석결과현시,대우위술기미행항응치료적관절치환술환자,추관내마취교전신마취가강저술후심정맥혈전화폐전새적발생솔,이항응치료후발생솔무차이;무론시부행항응치료,채용해량충마취방법후균미병발경막외혈종.
To compare the effectiveness and safety of spinal versus general anesthesia for arthroplasty with respect to deep vein thrombosis(DVT),pulmonary embolism (PE) and epidural hematoma.Randomized controlled trials involving spinal and general anesthesia for arthroplasty were searched.Quality assessment were analyzed according to the Cochrane Collaboration's rule.A total of 12 trials involving 1023 participants met the inclusion criteria,Meta-analyses showed that spinal anesthesia may reduce the incidence of DVT or PE after arthroplagty without anticoagulant.There is no difference in the incidence of DVT and PE when anticoagulant is used.Whether anticoagulant was used or not,no epidural hematoma was observed after using the two anesthesia methods.