穴位刺激促进胃癌患者术后胃肠功能恢复效果的Meta分析  

Effectiveness of acupoint stimulation on recovery of gastrointestinal function in postoperative patients of gastric cancer: a Meta-analysis

作　　者：黄芸 罗泳诗[1,2] 谢日华 张莉 Huang Yun;Luo Yongshi;Xie Rihua;Zhang Li(School of Nursing,Southern Medical University,Guangzhou,510515,China;The First People*s Hospital of Foshan,Foshan,528000,China;The Seventh Affiliated Hospital,Southern Medical University,Foshan,528244,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]佛山市第一人民医院,广东佛山528000 [3]南方医科大学第七附属医院,广东佛山528244

出　　处：《现代临床护理》2022年第6期70-79,共10页Modern Clinical Nursing

基　　金：佛山市科技创新项目中医药领域先行先试科技攻关专项,项目编号2020001005585。

摘　　要：目的 评价穴位刺激在胃癌患者术后胃肠功能恢复的干预效果,为临床护理实践提供依据。方法 通过PubMed、EMBASE、CINAHL、The Cochrane Library、CBM、中国知网、维普、万方8个数据库,检索关于穴位刺激足三里、神阙、内关、三阴交等穴位促进胃癌患者术后胃肠功能恢复效果的随机对照试验,检索时限从建库至2021年2月28日。运用RevMan 5.3软件进行Meta分析。结果 纳入21项随机对照试验,共1605例患者。Meta分析结果显示,与对照组相比,干预组患者术后肛门首次排气时间[MD=-9.10,95%CI(-12.03,-6.16),P<0.001]、首次肠鸣音恢复时间[MD=-11.23,95%CI(-14.61,-7.86),P<0.001]、首次排便时间[MD=-9.78,95%CI(-16.57,-2.98),P=0.005]、首次进食时间[MD=-0.88,95%CI(-1.27,-0.48),P<0.001]和住院时间[MD=-2.66,95%CI(-3.54,-1.79),P<0.001]均显著缩短。结论 穴位刺激足三里、神阙穴、内关穴、三阴交等穴位能有效促进胃癌术后患者胃肠功能恢复,且缩短住院时间,但临床推广还有待开展高质量的RCT研究验证和不断总结相关证据。Objective To systematically assess the effectiveness of acupoint stimulation on recovery of gastrointestinal function in patients after gastric cancer surgery so as to provide evidence for clinical nursing. Methods The databases of PubMed, EMBASE,CINAHL, the Cochrane Library, CBM, CNKI, VIP and Wanfang Data were searched from the inception to February 28, 2021 for the randomised controlled trials(RCT) about acupoint stimulation such? as Zusanli(ST36)、Shenque(CV 8)、Neiguan(PC6)、Sanyinjiao(SP6) on the recovery of gastrointestinal function in patients after gastric cancer surgery. A series of meta-analyses were conducted for selected outcomes using RevMan 5.3 software. Results Twenty-one RCTs with a total of 1, 605 patients were included. In comparison with the control group,the intervention group showed significantly less in the time to the first flatus [MD=-9.10,95%CI(-12.03,-6.16), P<0.001], the time to the first bowel motion [MD=-11.23,95%CI(-14.61,-7.86), P<0.001], the time to the first passage of faeces [MD=-9.78,95%CI(-16.57,-2.98),P=0.005], the time to the first meal after surgery [MD=-0.88,95%CI(-1.27,-0.48), P<0.001] and duration of hospital stay [MD=-2.66, 95%CI(-3.54,-1.79), P<0.001]. Conclusions Stimulation of Zusanli(ST36)、Shenque(CV 8)、Neiguan(PC6)、Sanyinjiao(SP6) acupoints can effectively promote the recovery of gastrointestinal function in postoperative patients of gastric cancer together witha shorter time in hospital stay. However, more high-quality RCT researches and relevant evidences are required for the clinical promotion of the acupoint stimulation.

关 键 词：穴位刺激 胃癌 针刺 经皮穴位电刺激 穴位贴敷 耳穴压豆 胃肠功能 META分析 

分 类 号：R473.73[医药卫生—护理学]