Otology & Neuerotology2026年7月16日

區域神經阻斷於中耳手術:隨機對照試驗系統性回顧與統合分析及GRADE評估

// Regional Nerve Blocks for Middle Ear Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials With GRADE Assessment

本研究評估淺頸叢與大耳神經阻斷術於成人中耳手術中的效果|七項隨機對照試驗顯示,神經阻斷可明顯減少術後疼痛、噁心及手術中鴉片類止痛劑使用|但對緊急止痛需求和不良事件無顯著影響|結果顯示此技術有助提升中耳手術的圍手術期疼痛管理與恢復品質。

// This study evaluated the effectiveness of superficial cervical plexus and great auricular nerve blocks in adults undergoing middle ear surgery. A review of seven randomized controlled trials showed these nerve blocks significantly reduced postoperative pain and nausea, as well as intraoperative opioid use. However, they did not significantly change rescue analgesic needs or adverse event rates. Overall, these nerve blocks appear to improve perioperative pain management and recovery in middle ear surgery.

Published 2026年7月15日

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