摘要
目的 :系统评价耳穴贴压在胆囊切除患者术后胃肠功能恢复中应用的效果。方法 :计算机检索CNKI、CBM、VIP、WANFANG Data、Pub Med、EMBASE、SCI和The Cochrane Library数据库中关于耳穴贴压应用于胆囊切除患者的随机对照试验(RCT)。筛选文献、数据提取、纳入文献的评价均由两名评价者独立进行,核对无误后运用Revman 5.3软件进行数据分析。结果 :最终纳入9篇文献,包括1 060例患者。Meta分析结果显示耳穴贴压在肠鸣音恢复时间[MD=-9.45,95%CI(-13.55,-5.35),P=0.01]、肛门首次排气时间[MD=-11.64,95%CI(-15.63,-7.65),P<0.001]、首次进食时间MD=-6.50,95%CI(-6.78,-6.22),P<0.001]方面与常规疗法相比时间均缩短。耳穴贴压在降低腹胀发生率[OR=0.18,95%CI(0.11,0.28),P<0.001]、恶心呕吐发生率[OR=0.26,95%CI(0.11,0.63),P=0.003]、术后疼痛评分[MD=-1.22,95%CI(-2.37,-0.08),P=0.04]方面均优于常规疗法。结论 :耳穴贴压有助于缩短肠鸣音恢复时间、首次排气时间、首次进食时间,降低腹胀和恶心呕吐的发生率,降低患者术后疼痛评分,但仍需要大样本、高质量的RCT进行验证。
Objective： To explore the effect of auricular pressure on post-operative gastrointestinal function recovery in cholecystectomy patients. Methods： We searched CNKI, CBM, VIP, WANFANG Data, PubMed, EMBASE, SCI and The Cochrane Library to collect RCTs about auricular pressure on post-operative cholecystectomy patients. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Then RevMan 5.3 software was used for Meta-analysis. Result： Totally 9 RCTs involving 1 060 patients were recruited. The results of meta-analysis showed that significant differences were found between the two groups in bowel sound recovery time [MD=-9.45, 95% CI （-13.55, -5.35）, P=0.01], the anus evacuation time [MD=-11.64, 95% CI （-15.63, -7.65）, P〈0.001], the meal recovery time [MD=-6.50, 95% CI （-6.78, -6.22）, P〈0.001]. Significant differences were observed in discomfort reaction including abdominal distention [OR=0.18, 95% CI （0.11, 0.28）, P〈0.001], vomiting and nausea [OR=0.26, 95% CI （0.11, 0.63）, P=0.003], and Visual Andogue Scale （VAS） [MD= -1.22, 95% CI （-2.37, -0.08）, P=0.04] between two groups. Conclusion： Auricular pressure could help shorten the time of bowel sounds recovery, the anus evacuation time and the meal recovery time, and reduce the VAS and the occurrence rate of abdominal distention and vomiting and nausea. However, large sample size and high-quality studies are still needed.
出处
《中国护理管理》
CSCD
2017年第10期1324-1330,共7页
Chinese Nursing Management
基金
天津市中医药管理局中医中西医结合科研课题(13053)
关键词
耳穴贴压
胆囊切除
胃肠功能
META分析
auricular pressure cholecystectomy gastrointestinal function Meta-analysis
