按摩对中风后便秘疗效的meta分析  

Efficacy of massage for the treatment of post-stroke constipation:A meta-analysis

作　　者：刘跟莉 唐祎周[1,2] 师帅 刘爽[1] 韩萌萌 刘亚 LIU Gen-li;TANG Yi-zhou;SHI Shuai;LIU Shuang;HAN Meng-meng;LIU Ya(College of Acupuncture and Massage,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150001,China;不详)

机构地区：[1]黑龙江中医药大学针灸推拿学院,黑龙江哈尔滨150001 [2]黑龙江中医药大学附属第二医院针灸科,黑龙江哈尔滨150001 [3]黑龙江中医药大学附属第二医院康复科 [4]黑龙江中医药大学附属第一医院内分泌科,黑龙江哈尔滨150040

出　　处：《中华全科医学》2022年第9期1593-1597,共5页Chinese Journal of General Practice

基　　金：黑龙江省中医药科研项目(ZHY2020-141)。

摘　　要：目的 旨在评价按摩治疗中风后便秘的临床疗效及其安全性。方法 本系统评价遵循系统评价和meta分析的报告规范,通过计算机检索了自数据库建库以来至2020年12月的中英文文献。外文数据库:Cochrane Library、PubMed、EMBASE、Web of Science;中文数据库:中国生物医学文献数据库(CBM)、万方数据库(Wanfang Data)、维普中文科技期刊数据库(VIP)以及中国期刊全文数据库(CNKI)检索到按摩治疗中风后便秘的相关文献。采用Rev Man 5.3软件进行数据分析。结果 最终纳入11篇RCT文献,总计1 045例患者进行meta分析。干预组和对照组之间的总有效率(RR=1.43,95%CI:1.11~1.83)、便秘发生率(RR=0.36,95%CI:0.25~0.53)、第2天排便次数(RR=1.98,95%CI:1.30~3.70)、第3天排便次数(RR=2.27,95%CI:1.49~3.47)方面比较,干预组均优于对照组。结论 按摩治疗可以有效提高中风后便秘的临床疗效,降低中风后便秘的发生率,但还需要多中心、高质量、长期的随机临床研究用以进一步验证。Objective To evaluate the clinical efficacy and safety of massage in the treatment of constipation after stroke.Methods According to the reporting standards of system evaluation and meta-analysis,Chinese and English literature from the establishment of the database to December 2020 was searched by a computer.Foreign language databases:Cochrane Library,PubMed,Embase,Web of Science,and Chinese databases:China Biomedical Literature Database,Wanfang Data,VIP database and China Journal Full text Database were used to search relevant literature on massage treatment of constipation after stroke.Rev Man 5.3 software was used for data analysis.Results Eleven RCTs with a total of 1045 patients were included for the meta-analysis.The overall response rate(RR=1.43,95%CI:1.11-1.83),incidence of constipation(RR=0.36,95%CI:0.25-0.53),frequency of defecation on day 2(RR=1.98,95%CI:1.30-3.70),and frequency of defecation on the third day(RR=2.27,95%CI:1.49-3.47)in the intervention group were better than in the control group.Conclusion Massage therapy can effectively improve the clinical efficacy of post-stroke constipation and reduce the incidence of post-stroke constipation,but multi-centre,high quality,long-term randomised clinical studies are needed for further verification.

关 键 词：按摩疗法 慢传输型便秘 脑血管疾病 META分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R256.35[医药卫生—临床医学] R244.1