穴位按压腕带缓解术后恶心呕吐随机对照试验的Meta分析

目的评价穴位按压腕带作用于内关穴缓解成人术后恶心呕吐的效果。方法检索MEDLINE、CNKI等数据库,纳入所有相关的随机对照试验(RCT),采用RevMan5.0分析数据。结果共纳入9个RCT。相对于安慰剂对照组,试验组即穴位按压腕带作用于内关穴可以有效减少术后呕吐的发生率(RR=0.50,95%CI:0.37~0.66,P<0.01)。而对于术后恶心的发生率,试验组和安慰剂对照组的差异无统计学意义(RR=0.85,95%CI:0.72~1.00,P>0.05)。结论术后护理中应用穴位按压腕带作用于内关穴可以有效缓解术后呕吐,而缓解术后恶心作用不显著,需要今后的研究者进行更加可靠的RCT试验进一步研究和探讨。护理人员可以引进穴位按压腕带进行有效性和适用性的研究。

Acupressure wristbands prevent postoperative nausea and vomiting: a Meta-analysis

Objective To examine the impact of acupressure wristbands encircling the wrist and compressing Neiguan acupuncture point on prevention of postoperative nausea and vomiting in adults.Methods MEDLINE,CNKI and other databases were searched,and the randomized controlled trials were enrolled and analysed with Revman 5.0.Results Nine studies were recruited.Compared with the placebo controls,acupressure wristbands encircling the wrist and compressing Neiguan acupuncture point reduced vomiting(RR=0.50,95% CI: 0.37-0.66,P<0.01).No statistical difference was found in occurrence of nausea between the acupressure wristbands group and the placebo group(RR=0.85,95%CI:0.72-1.00,P>0.05).Conclusion Usage of acupressure wristbands encircling the wrist and compressing Neiguan acupuncture point can ease postoperative vomiting,but it can not reduce postoperative nausea.High quality RCTs are still needed to assess the effects of acupressure wristbands on prevention of postoperative nausea and vomiting.And Chinese nurses can bring in these wristbands to prove their effectiveness and applicability.