经皮穴位电刺激对腹腔镜非胃肠手术后恶心呕吐影响的Meta分析  

Effect of transcutaneous electrical acupoint stimulation on postoperative nausea and vomiting after laparoscopic non-gastrointestinal surgery:a meta-analysis

作　　者：王彩红 魏晓涛 赵永强[3] 徐紫清 崔一阳 周婷[1] 薛建军[4] WANG Caihong;WEI Xiaotao;ZHAO Yongqiang;XU Ziqing;CUI Yiyang;ZHOU Ting;XUE Jianjun(First Clinical Medical College of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院,兰州市730000 [2]甘肃省中医院骨科 [3]甘肃省中医院泌尿外科 [4]甘肃省中医院麻醉疼痛医学中心甘肃省中西医结合麻醉临床医学研究中心

出　　处：《临床麻醉学杂志》2024年第9期959-965,共7页Journal of Clinical Anesthesiology

基　　金：甘肃省科技计划项目-青年科技基金(23JRRA1251);甘肃省科技计划项目-临床医学研究中心建设(20JR10RA435);甘肃省科技计划项目-重点研发计划(22YF7FA101,23YFFA0053)。

摘　　要：目的系统评价经皮穴位电刺激(TEAS)治疗腹腔镜非胃肠手术后恶心呕吐(PONV)的影响。方法计算机检索PubMed、Cochrane library、Web of Science、Embase、中国知网、万方、中国生物医学文献数据库(CBM),收集TEAS用于治疗腹腔镜非胃肠手术PONV的随机对照试验(RCT),检索时间为建库至2023年7月。采用RevMan 5.3软件进行Meta分析。结果最终纳入22篇RCTs,共纳入患者3538例,其中TEAS组1799例,对照组1739例。Meta分析结果显示,与对照组比较,TEAS组术后0~24 h PONV发生率明显降低(RR=0.54,95%CI 0.44~0.68,P<0.001),术后补救性止吐例数明显降低(RR=0.54,95%CI 0.38~0.77,P<0.001)。两组术后穴位刺激相关不良反应发生率差异无统计学意义(RR=0.62,95%CI 0.15~2.51,P=0.500)。结论TEAS治疗腹腔镜非胃肠手术PONV具有良好的临床疗效及安全性。Objective To systematically evaluate the effect of transcutaneous electri-cal acupoint stimulation(TEAS)in the treatment of postoperative nausea and vomiting(PONV)after laparoscopic non-gastrointestinal surgery.Methods Databases such as PubMed,Cochrane library,Web of Science,Embase,CNKI,Wanfang,and Chinese biomedical database(CBM)were searched to find and screen randomized controlled trials(RCTs)of TEAS in the prevention and treatment of PONV after laparoscopic non-gastrointestinal surgery.The retrieval time was from the establishment of the database to July 2023.Meta-analysis was performed using RevMan 5.3 software.Results Twenty-two RCTs involving 3538 patients were included,including 1799 in the TEAS group and 1739 in the control group.The results of meta-analysis showed that the total incidence of PONV in the TEAS group was significantly lower than that in the control group 0-24 hours after operation(RR=0.54,95%CI 0.44-0.68,P<0.001),and the incidence of postoperative remedial antiemetic was significantly reduced(RR=0.54,95%CI 0.38-0.77,P<0.001).There was no significant difference in the incidence of postoperative acupoint stimulation-related adverse reactions between the two groups(RR=0.62,95%CI 0.15-2.51,P=0.500).Conclusion TEAS has good clinical efficacy and safety in the treatment of PONV after laparoscopic non-gastrointestinal surgery.

关 键 词：经皮穴位电刺激 术后恶心呕吐 腹腔镜 META分析 

分 类 号：R614[医药卫生—麻醉学]