OBJECTIVE To assess the effi⁃cacy and safety of acupuncture-related treat⁃ments for postherpetic neuralgia(PHN),identify the most effective acupuncture and related treat⁃ments.METHODS PubMed,Cochrane Central Register ...OBJECTIVE To assess the effi⁃cacy and safety of acupuncture-related treat⁃ments for postherpetic neuralgia(PHN),identify the most effective acupuncture and related treat⁃ments.METHODS PubMed,Cochrane Central Register of Controlled Trials,Embase,Web of Science,and four Chinese databases,a clinical research registration platform,and grey literature were searched.We evaluated the risk of bias and quality in the included studies and per⁃formed a Bayesian multiple network meta-analysis.RESULTS We included 29 randomized controlled trials comprising 1973 patients,of which approximately 17.24%showed a high risk of bias.According to the Jadad scale,2,16,and 11 studies were high,medium,and low quality,respectively.The pairwise meta-analysis results revealed that the efficacy of all acupuncture-related treatments for pain relief related to PHN showed the difference was statistically significant com⁃pared with that of antiepileptics.The network meta-analysis results showed that pricking and cupping plus antiepileptics were the most effective,followed by electroacupuncture(EA)plus antiepileptics for pain relief in patients with PHN.EA plus antiepileptics ranked the best regarding reduced Pittsburgh Sleep Quality Index and Self-Rating Depression Scale scores in patients with PHN.No results were found regarding total response rate or quality of life among this study.Acupuncture-related treatments showed a lower incidence of adverse events than that of antiepi⁃leptics-related treatments.CONCLUSION Acu⁃puncture-related therapies may be potential treat⁃ment options for PHN and are relatively safe.Pricking and cupping plus antiepileptics are the most effective techniques for pain relief.EA plus antiepileptics is the best approach for improving insomnia and depression symptoms of PHN.展开更多
目的：探讨全麻复合超声引导下单次胸椎旁阻滞对单孔胸腔镜手术患者术后疼痛和快速康复的影响。方法择期行单孔胸腔镜手术的患者30例,男20例,女10例,采用随机数字表法将患者分为两组,每组15例。C 组采用单纯全凭静脉麻醉,T 组于麻醉诱...目的：探讨全麻复合超声引导下单次胸椎旁阻滞对单孔胸腔镜手术患者术后疼痛和快速康复的影响。方法择期行单孔胸腔镜手术的患者30例,男20例,女10例,采用随机数字表法将患者分为两组,每组15例。C 组采用单纯全凭静脉麻醉,T 组于麻醉诱导前采用超声引导下单次椎旁神经阻滞,术中行全凭静脉麻醉。两组患者术后均不采用镇痛装置,若术后静息时 VAS 评分〉4分,则予单次剂量地佐辛5~20 mg,一天最多不超过120 mg。记录术后1、4、8、12 h 的 Ramsay镇静评分,术前1 d、术后4、8、12、24 h 的机械痛阈值,术后第1次疼痛反馈时间,术后24 h 内地佐辛用量及不良反应情况,第1次下床活动时间和术后住院时间。结果与 C 组比较,T 组术后8、12 h Ramsay 评分明显降低（P 〈0.05）,术后4、8 h 机械痛阈值明显升高（P 〈0.05）,第1次疼痛反馈时间明显延长（P 〈0.05）,术后24 h 内地佐辛用量明显减少（P 〈0.05）,第1次下床活动时间和住院时间明显缩短（P 〈0.05）,术后24 h 恶心呕吐等不良反应发生率明显降低（P 〈0.05）。结论全麻复合单次胸椎旁阻滞可有效缓解单孔胸腔镜手术患者术后的切口疼痛,减少术后24 h 内阿片类药物用量,降低不良反应发生,有利于术后早期下床活动,缩短患者住院时间。展开更多
基金National Key Research and Development plan for the Modernization of Traditional Chinese Medicine (2018YFC1707700)National Key Research and Development plan for the Modernization of Traditional Chinese Medicine (2018YFC1707706)National Administration of Traditional Chinese Medicine Evidencebased Capacity Building Project (2019XZZXZJ005)
文摘OBJECTIVE To assess the effi⁃cacy and safety of acupuncture-related treat⁃ments for postherpetic neuralgia(PHN),identify the most effective acupuncture and related treat⁃ments.METHODS PubMed,Cochrane Central Register of Controlled Trials,Embase,Web of Science,and four Chinese databases,a clinical research registration platform,and grey literature were searched.We evaluated the risk of bias and quality in the included studies and per⁃formed a Bayesian multiple network meta-analysis.RESULTS We included 29 randomized controlled trials comprising 1973 patients,of which approximately 17.24%showed a high risk of bias.According to the Jadad scale,2,16,and 11 studies were high,medium,and low quality,respectively.The pairwise meta-analysis results revealed that the efficacy of all acupuncture-related treatments for pain relief related to PHN showed the difference was statistically significant com⁃pared with that of antiepileptics.The network meta-analysis results showed that pricking and cupping plus antiepileptics were the most effective,followed by electroacupuncture(EA)plus antiepileptics for pain relief in patients with PHN.EA plus antiepileptics ranked the best regarding reduced Pittsburgh Sleep Quality Index and Self-Rating Depression Scale scores in patients with PHN.No results were found regarding total response rate or quality of life among this study.Acupuncture-related treatments showed a lower incidence of adverse events than that of antiepi⁃leptics-related treatments.CONCLUSION Acu⁃puncture-related therapies may be potential treat⁃ment options for PHN and are relatively safe.Pricking and cupping plus antiepileptics are the most effective techniques for pain relief.EA plus antiepileptics is the best approach for improving insomnia and depression symptoms of PHN.
文摘目的：探讨全麻复合超声引导下单次胸椎旁阻滞对单孔胸腔镜手术患者术后疼痛和快速康复的影响。方法择期行单孔胸腔镜手术的患者30例,男20例,女10例,采用随机数字表法将患者分为两组,每组15例。C 组采用单纯全凭静脉麻醉,T 组于麻醉诱导前采用超声引导下单次椎旁神经阻滞,术中行全凭静脉麻醉。两组患者术后均不采用镇痛装置,若术后静息时 VAS 评分〉4分,则予单次剂量地佐辛5~20 mg,一天最多不超过120 mg。记录术后1、4、8、12 h 的 Ramsay镇静评分,术前1 d、术后4、8、12、24 h 的机械痛阈值,术后第1次疼痛反馈时间,术后24 h 内地佐辛用量及不良反应情况,第1次下床活动时间和术后住院时间。结果与 C 组比较,T 组术后8、12 h Ramsay 评分明显降低（P 〈0.05）,术后4、8 h 机械痛阈值明显升高（P 〈0.05）,第1次疼痛反馈时间明显延长（P 〈0.05）,术后24 h 内地佐辛用量明显减少（P 〈0.05）,第1次下床活动时间和住院时间明显缩短（P 〈0.05）,术后24 h 恶心呕吐等不良反应发生率明显降低（P 〈0.05）。结论全麻复合单次胸椎旁阻滞可有效缓解单孔胸腔镜手术患者术后的切口疼痛,减少术后24 h 内阿片类药物用量,降低不良反应发生,有利于术后早期下床活动,缩短患者住院时间。
