| 经皮穴位电刺激对剖宫产产妇术后胃肠功能恢复影响的meta分析 |
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| 引用本文： | 丁声双 黄伟华 段蓉蓉 逯晓婷 张杰 秦晓宇 薛建军. 经皮穴位电刺激对剖宫产产妇术后胃肠功能恢复影响的meta分析[J]. 国际医药卫生导报, 2022, 28(21): 3014-3019. DOI: 10.3760/cma.j.issn.1007-1245.2022.21.011 |
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| 作者姓名： | 丁声双 黄伟华 段蓉蓉 逯晓婷 张杰 秦晓宇 薛建军 |
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| 作者单位： | 1甘肃中医药大学第一临床医学院，兰州 730000；2甘肃省中医院麻醉科，兰州 730050 |
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| 基金项目： | 甘肃省科技计划资助项目-临床医学研究中心建设（20JR10RA435） |
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| 摘 要： | 目的 运用meta分析综合评价经皮穴位电刺激（TEAS）对剖宫产产妇术后胃肠功能恢复的干预效果。方法 运用计算机检索从建库到2022年2月27日发表在The Cochrane Library、PubMed、Web of Science、EMbase、中文科技期刊数据库（VIP）、中国知网（CNKI）、万方数据知识服务平台（WanFang Data）、中国生物医学文献数据库（CBM）上的关于经皮穴位电刺激对剖宫产产妇术后胃肠功能恢复的随机对照试验。运用RevMan5.3软件对最终符合要求的文献进行meta分析。结果 本meta分析共纳入8篇文献，851例剖宫产产妇。meta分析显示，相比于常规护理或假TEAS，TEAS能缩短剖宫产产妇术后肛门首次排气时间（MD=-6.97，95%CI -9.92～-4.02，P<0.000 01）、首次排便时间（MD=-12.61，95%CI -20.69～-4.53，P=0.002）及肠鸣音恢复时间（MD=-3.32，95%CI -4.76～-1.88，P<0.000 01），同时降低术后腹胀发生率（RR=0.44，95%CI 0.27～0.69，P=0.000 4）与恶心呕吐发生率（RR=0.39，95%CI 0.26～0.58，P<0.000 01），并且缩短了住院时间（SMD=-0.65，95%CI -0.83～-0.46，P<0.000 01）。结论 TEAS在剖宫产产妇术后胃肠功能恢复方面起到明显促进作用，但由于纳入文献数量偏少，后续仍需要进行相关研究来进一步证实。
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| 关 键 词： | 经皮穴位电刺激 剖宫产 随机对照试验 meta分析 |
| 收稿时间： | 2022-07-31 |
Meta-analysis on influence of transcutaneous electrical acupointstimulation on recovery of gastrointestinal function in parturients aftercesarean section |
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| Ding Shengshuang,Huang Weihua,Duan Rongrong,Lu Xiaoting,Zhang Jie,Qin Xiaoyu,Xue Jianjun. Meta-analysis on influence of transcutaneous electrical acupointstimulation on recovery of gastrointestinal function in parturients aftercesarean section[J]. International Medicine & Health Guidance News, 2022, 28(21): 3014-3019. DOI: 10.3760/cma.j.issn.1007-1245.2022.21.011 |
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| Authors: | Ding Shengshuang Huang Weihua Duan Rongrong Lu Xiaoting Zhang Jie Qin Xiaoyu Xue Jianjun |
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| Affiliation: | 1 First Clinical Medical College, Gansu Universityof Chinese Medicine, Lanzhou 730000, China; 2 Department ofAnesthesiology, Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050, China |
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| Abstract: | Objective To evaluate the intervention effect of transcutaneous electricalacupoint stimulation (TEAS) on the recovery of gastrointestinal function inparturients after cesarean section by meta-analysis. Methods The randomized controlledtrials about TEAS on the recovery of gastrointestinal function in parturientsafter cesarean section were searched from The Cochrane Library, PubMed, Web ofScience, EMbase, VIP, CNKI, WanFang Data, and China Biology Medicine disc (CBM)from their establishment to February 27, 2022. The RevMan5.3 software was usedto conduct meta-analysis on the included literatures. Results Eight literatures were included, with 851 parturients who took cesareansection. Meta-analysis showed that compared with routine nursing or sham TEAS,TEAS could shorten the first exhaust time (MD=-6.97,95%CI -9.92--4.02, P<0.000 01), the first defecationtime (MD=-12.61,95%CI -20.69--4.53,P=0.002), and bowel sound recovery time,(MD=-3.32, 95%CI -4.76--1.88, P<0.000 01), andreduce the incidences of postoperative abdominal distension (RR=0.44, 95%CI 0.27-0.69, P=0.000 4)and nausea and vomiting (RR=0.39, 95%CI 0.26-0.58, P<0.000 01) and hospital stay (SMD=-0.65, 95%CI -0.83--0.46, P<0.000 01). Conclusion TEAS is helpful tothe recovery of gastrointestinal function after cesarean section, but due tothe small number of included literatures, follow-up related studies are stillneeded to further confirm it. |
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| Keywords: | Transcutaneous electrical acupointstimulation Cesarean section Randomized controlled trials Meta-analysis |
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