围手术期经皮穴位电刺激对结直肠肿瘤患者术后胃肠功能影响的Meta分析  

Effect of perioperative transcutaneous electrical acupoint stimulation on postoperative gastrointestinal function in patients with colorectal cancer:a Meta-analysis

作　　者：陈佳萍 李鹤[1] 卞丽芳[1] 施晓兰[1] 李琰[1] CHEN Jiaping;LI He;BIAN Lifang;SHI Xiaolan;LI Yan

机构地区：[1]浙江大学医学院附属第一医院肝胆胰外科,杭州市310000

出　　处：《中华急危重症护理杂志》2023年第3期213-221,共9页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙大一院护理科研项目(2022ZYHL002)。

摘　　要：目的了解围手术期经皮穴位电刺激对结直肠肿瘤患者术后胃肠功能恢复的影响。方法计算机检索PubMed、Embase、The Cochrane Library、Web of Science、中国生物医学文献数据库、万方数据知识服务平台、中国知网、维普数据库,收集关于结直肠肿瘤患者围手术期经皮穴位电刺激对术后胃肠功能恢复影响的随机对照试验研究,检索时限为建库至2022年6月。由2名接受过循证护理培训的研究者根据纳入排除标准独立筛查文献、提取资料、质量评价后使用Stata 14.0软件进行Meta分析。结果最终纳入14篇文献,共1560例患者。结果显示,围手术期经皮穴位电刺激可缩短肠鸣音恢复时间[WMD=-9.58,95%CI(-12.30,-6.88),Z=6.94,P<0.001],缩短首次肛门排气时间[WMD=-12.35,95%CI(-15.58,-9.12),Z=7.49,P<0.001],降低恶心呕吐发生率[RR=0.46,95%CI(0.32,0.66),Z=4.18,P<0.001],加快首次排便时间[WMD=-15.51,95%CI(-22.16,-8.86),Z=4.57,P<0.001],缩短住院天数[WMD=-1.64,95%CI(-2.75,-0.54),Z=2.92,P=0.004]。但在肠梗阻发生率上差异无统计学意义[RR=0.62,95%CI(0.26,1.45),Z=1.11,P=0.27]。结论围手术期经皮穴位电刺激有助于结直肠肿瘤患者术后胃肠功能恢复,但在选穴、干预时机、频率、经皮穴位电刺激仪器参数的选择上尚未形成共识,需要开展进一步高质量的临床研究进行验证。Objective To investigate the efct of perioperative transcutaneous electrical acupoint stimulation on postoperative gastrointestinal funetion in patients with colorectal cancer by meta-analysis.Methods PubMed,Em-base,the Cochrane Library,Web of Seience,China Biomedical Literature Database,Wanfang Data Knowledge Service Plform,China National Knowledge Infrastrueture,VIP database were eletronically searched to ollet randonized control trials on the efects of perioperative transcutaneous electrical acupoint stimulation on postoperaive gastroin-testinal function recovery in colorectal surgery patients from ineeption of database to June 2022.Two reviewers with evidence-based nursing training independently screened the literature according to the inclusion and exclusion crite-ria,extracled daua,and evaluated the quality,and then performed metnanalysis by Stata140 software.Results A total of 14 literature were included.involving 1560 patiens.The reuls showed that transcutaneous eletrical acupoint stimulation could accelerate the recovery of bowel sounds[WMD=--9.58。95%CI(-12.30.-6.88),Z=6.94,P<0.001]and shorten the time of anal exhaust[WMD=-12.35.95%CI(-15.58.-9.12).2-7.49,P<0.001].reduce the incidence of nausea and vomiting[RR=0.46,95%C1(0.32,0.66),Z=4.18,P<0.00]acerate the time of first defecation[WMD=-15.51,95%C1(-22.16,-8.86),Z=4.57,P<0.001],shorten hospitalization days[WMD--1.64.95%C1(-2.75.-0.54),Z=2.92,P-0.004].However,there was no significant difference in the incidence of intestinal obstruction [RR-0.62,95%CI(0.26,145),Z=1.11,P2027].Conclusion Transcutaneous electical acupoint stimulation can promote the recovery of gastrointestinal function in patients with colorectal cancer after surgery.However,there is no consensus on the selec-tion of acupoints,intervention timing.frequency,and the selection of parameters of transcutaneous eletrical acupoint stimulation instrument,which needs to be validated by further high-quality clinical studies.

关 键 词：围手术期 结直肠肿瘤 经皮穴位电刺激 胃肠功能 META分析 

分 类 号：R473.73[医药卫生—护理学]