耳穴贴压促进术后胃肠功能恢复干预性试验的Meta分析  

Trails about auricular acupressure in improving the postoperative gastrointestinal peristaltic function： a Meta-analysis

作　　者：王晓庆[1] 段培蓓[2] 张晓琴[1] 诸建华[1] 梅思娟[3] 杨丽华[3] 孙龙[1] 

机构地区：[1]江苏省中医院消化肿瘤外科,南京210029 [2]江苏省中医院护理部,南京210029 [3]江苏省中医院肿瘤内科,南京210029

出　　处：《中华现代护理杂志》2014年第29期3686-3690,共5页Chinese Journal of Modern Nursing

基　　金：江苏省中医院院级课题（Y12030）

摘　　要：目的评价耳穴贴压对患者术后胃肠功能恢复的影响。方法检索Cochrane及JBI图书馆、PubMed（1966-2013年）、EMbase（1989-2013年）、CBMdisc（1978-2013年）和CNKI（1994-2013年）数据库中符合纳入排除标准的中英文文献，由3名研究者对文献进行质量评价，使用RevMan 5．0软件对符合标准的研究结局指标进行分析和描述。结果共纳入14项临床干预性研究，文献质量等级均为B级。Meta分析结果显示，在常规治疗护理的基础上结合耳穴贴压疗法，可明显缩短患者术后排气的时间（WMD=-14．16，95％CI：-18．40- -9．93，P〈0．01）、排便的时间（WMD=-19．19，95％CI：-27．56- -10．81，P〈0．01），促进肠鸣音的恢复（WMD=-10．33，95％CI：-12．98- -7．69，P〈0．01）及减少腹胀的发生（OR=0．17，95％CI：0．10—0．29，P〈0．01）。结论耳穴贴压能够有效促进术后胃肠功能的恢复，今后可将研究重点或方向放在耳穴贴压促进术后胃肠功能恢复作用机理的基础研究及临床试验的规范化研究上。Objective To systematically review the effect of auricular acupressure on the recovery of gastrointestinal peristaltic functioning after the surgery. Methods The randomized controlled trials （RCT） and controlled clinical trail on auricular acupressure after the surgery were collected using the databases of Cochrane Library, JBI Library, PubMed, EMbase, CBMdisc, China National Knowledge Infrastructure （CNKI） and Chinese BioMedical Literature Database （CBM）. After selection and critical appraisal of the retrieved studies, a quantitative systemic review（ Meta-analysis） was conducted by RevMan 5.0 software. Results Four RCTs and ten CCTs were included with the literature quality of B. Meta-analysis showed that auricular acupressure after the surgery could significantly shorten the time to first flatus （ WMD = - 14.16,95% CI = - 18.40 - -9.93 ,P 〈 0.01 ） ,time to first bowel motion （ WMD = - 10.33,95% CI = - 12.98 - - 7.69, P 〈 0.01 ）, time to first passage of feces（ WMD = - 19.19,95% CI = - 27.56 - - 10.81 ,P 〈 0.01 ）, and reduced the rate of abdominal distension （ OR = 0.17,95% CI：0. 10 - 0.29, P 〈 0.01 ）. Conclusions Auricular acupressure after surgery is beneficial in promoting the recovery of gastrointestinal peristaltic function. However, more high quality RCTs on the basic research of action mechanism, and standardized clinical research are still required to verify the effects.

关 键 词：耳穴贴压 胃肠功能 干预性试验 META分析 

分 类 号：R473.6[医药卫生—护理学]