针刺干预妇产科术后胃肠功能恢复有效性与安全性的系统评价  

A meta-analysis of the effectiveness and safety of acupuncture intervention in gastrointestinal function after gynecilogical and obstetrical operations

作　　者：王佑萍 王佑丽 张桂云 Wang Youping;Wang Youli;Zhang Guiyun(Department of Obstetrics,Shiyan City Maternal and Child Health Hospital,Shiyan 442000,China)

机构地区：[1]湖北省十堰市妇幼保健院产科,442000 [2]湖北省十堰市中医院内分泌科,442000

出　　处：《国际中医中药杂志》2018年第10期938-942,共5页International Journal of Traditional Chinese Medicine

摘　　要：目的系统评价针刺干预妇产科术后胃肠功能恢复的有效性与安全性。方法计算机检索中国生物医学文献服务系统（SmoMed）（1997-2017年）、中文科技期刊数据库（重庆维普）（1997-2017年）、中国学术期刊数据库（万方数据）（1997-2017年）、中国期刊全文数据库（CNKI）（2007-2017年）、PubMed数据库（1997-2017年）、Cochrane图书馆（2017年第4期），有关针刺干预妇产科术后胃肠功能恢复的RCT研究，并辅以手工检索，采用Cochrane系统评价员手册4．2．8进行质量评估，采用Revman5．3软件进行meta分析。结果共纳入文献14篇，受试者1192例。Meta分析结果提示，针刺干预妇产科患者术后胃肠功能可提高综合疗效[0R=6．09，95％c，（2．91-12．75），P〈0．01]、缩短首次排便时间[MD=-14．72，95％CI（-16．00--13．44），P〈0．01]、缩短肠鸣音恢复时间[MD=-8．81，95％c／（-10．34--7．28），P〈0．01]，缩短平均首次排气时间[NMD=-11．84，95％cI（-15131--8．36），P〈0．01]。结论针刺干预妇产科患者术后胃肠功能的恢复安全、有效。但因纳入文献数量有限且部分研究质量较低，上述结论需更多高质量RCT验证。Objective To systematically evaluate the effectiveness and safety of acupuncture intervention in gastrointestinal function after gynecilogical and obstetrical operations. Methods Databases of SinoMed （1997-2017）, VIP （1997-2017）, Wanfang （1997-2017）, CNKI （2007-2017）, PubMed （1997-2017） and Cochrane Library （2017 fourth） were searched by computers （supplemented by manual searching）. The randomized controlled trials were included on the gastrointestinal function recovery after acupuncture intervention in gynecilogical and obstetrical operations. The data were extracted independently and cross-checked by two evaluators. Then the quality was evaluated according to the Cochrane system assessor manual 4.2.8, and RevMan 5.3 software was used for meta-analysis. Results A total of I 192 patients were included in 14 randomized controlled trials. Meta-analysis showed that the effective rate [OR--6.09, 95% CI （2.91, 12.75）, P〈0.01], the time to first passage of feces [MD=-14.72, 95% CI（-16.00, -13.44）, P〈0.01], the time to fkrst bowel motion [MD=-8.81, 95% CI （-10.34, -7.28）, P〈0.01] and the time to first flatus [MD=-ll.84, 95% CI （-15.31, -8.36）, P〈0.01] in the acupuncttu~ group were higher than those in control group. Conclusions Acupuncture intervention in gynecilogical and obstetrical operations was safe and effective for gastrointestinal function recovery of patients. However, the above conclusions are required to have further validation with more highly qualified randomized controlled trials for the limited number of literature and the low quality of some studies.

关 键 词：针刺 手术后期间 妇科外科手术 产科外科手术 胃肠功能 系统评价 Meta分析 

分 类 号：R246.3[医药卫生—针灸推拿学]