Abstract | INTRODUCTION: METHOD: Relevant articles were identified using computerized and manual search strategies. Statistical analyses were undertaken by the CMA 2.0 statistical software. RESULTS: Nine cohort studies with a total of 436 patients undergoing spinal fusion surgeries were incorporated in the present meta-analysis. There were significant differences between the PCEA and PCIA groups in the visual analogue scale score of patients undergoing spinal fusion [standardized mean difference = 0.27, 95 % confidence interval (95 % CI) = 0.070-0.470, P = 0.008]. However, no obvious difference was observed in the rate of side effects between the PCIA and PCEA groups (side effects: odds ratio = 0.957, 95 % CI = 0.536-1.708, P = 0.882). CONCLUSION: Our findings suggested that PCEA may be more effective in relieving pain than PCIA for patients undergoing spinal fusion surgeries.
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Authors | Shan Lu, Si-Chao Ma, Yun-Yun Wang, Zhi-Hua Zhu, Hong-Wu Fan, Guo-Qing Zhao |
Journal | Archives of orthopaedic and trauma surgery
(Arch Orthop Trauma Surg)
Vol. 135
Issue 9
Pg. 1247-55
(Sep 2015)
ISSN: 1434-3916 [Electronic] Germany |
PMID | 26119710
(Publication Type: Comparative Study, Journal Article, Meta-Analysis, Review)
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Topics |
- Analgesia, Epidural
- Analgesia, Patient-Controlled
(methods)
- Humans
- Infusions, Intravenous
- Pain, Postoperative
(prevention & control)
- Spinal Fusion
- Visual Analog Scale
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