经皮高频电刺激内关穴对剖宫产术中低血压防治作用的meta分析  

Effect of the percutaneous high-frequency electrical stimulation of the Neiguan point for the prevention and treatment of the hypotension of women during cesarean section:A meta-analysis

作　　者：徐晶 张茜茜 曹蓉 XU Jing;ZHANG Qianqian;CAO Rong(Chengdu Women's and Children's Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China,Chengdu Women's and Children's Central Hospital,Chengdu,Sichuan Province,610091)

机构地区：[1]电子科技大学医学院附属妇女儿童医院,成都市妇女儿童中心医院,610091

出　　处：《中国计划生育学杂志》2024年第11期2468-2475,共8页Chinese Journal of Family Planning

摘　　要：目的:系统评价经皮高频电刺激内关穴对剖宫产术中低血压防治作用的效果。方法:计算机检索PubMed、Embase、Web of science、Cochrane Library、中国知网(CNKI)、万方(WanFang Data)、维普(VIP)和中国生物医学文献(CBM)数据库,纳入有关经皮高频电刺激内关穴对剖宫产术中血压影响的随机对照试验(RCTs),对纳入文献进行质量评价。采用RevMan 5.4软件进行统计分析。结果:纳入9篇RCTs,患者826例。与对照组比较,观察组术中的低血压发生率(RR=0.32,95%CI 0.25~0.42)、升压药使用率(RR=0.34,95%CI 0.24~0.48)显著降低,头晕(RR=0.22,95%CI 0.10~0.47)、胸闷(RR=0.17,95%CI 0.10~0.30)、呼吸困难(RR=0.32,95%CI 0.18~0.56)、恶心(RR=0.26,95%CI 0.15~0.46)、呕吐(RR=0.23,95%CI 0.09~0.60)的发生率均显著降低,新生儿Apgar评分(WMD=0.08,95%CI-0.05~0.20)组间比较无统计学差异。结论:内关穴经皮高频电刺激可以显著降低剖宫产术中低血压的发生率,减少头晕、胸闷、呼吸困难、恶心呕吐的发生率。Objective:To systematically evaluate the effect of the percutaneous high-frequency electrical stimulation(PHFES)of the Neiguan point for the prevention and treatment of the hypotension of women during cesarean section.Methods:The databases,such as PubMed,Embase,Web of science,Cochrane Library,CNKI,Wanfang Data,VIP and CBM,were searched by computer.The randomized controlled trials(RCTs)on the effect of PHFES of the Neiguan point for the prevention and treatment of the hypotension of the women during cesarean section were included,and the quality of the included literatures was evaluated.The statistical analysis was performed using RevMan5.4software.Results:9 RCTs with 826 women were included.Compared with those of the women in the control group,the incidences of the intraoperative hypotension(RR=0.32,95%CI 0.25-0.42),the vasoconstrictive drugs used(RR=0.34,95%CI 0.24-0.48),the dizziness(RR=0.22,95%CI 0.10-0.47),the chest tightness(RR=0.17,95%CI 0.10-0.30),the dyspnea(RR=0.32,95%CI 0.18-0.56),the nausea(RR=0.26,95%CI 0.15-0.46)and the vomiting(RR=0.23,95%CI 0.09-0.60)of the women in the experimental group were significantly decreased.There was no significant difference in the neonatal Apgar scores(WMD=0.08,95%CI 0.05-0.20)of the women between the two groups.Conclusion:PHFES of the Neiguan point can significantly reduce the incidence of the rates of the hypotension,dizziness,chest tightness,dyspnea,nausea and vomiting of the women during cesarean section.

关 键 词：剖宫产 低血压 经皮穴位电刺激 内关穴 META分析 

分 类 号：R246.3[医药卫生—针灸推拿学]