耳穴压豆防治便秘效果的系统评价

Effects of Ear-Acupressure in treatment of constipation:a systematic review

目的:系统评价耳穴压豆防治便秘的效果。方法:计算机检索Cochrane图书馆、Pubmed、中国知网(CNKI)、维普中文期刊数据库公开发表的各类文献,检索时间为建库至2016年4月20日。按照纳入和排除标准筛选耳穴压豆改善便秘的随机对照试验、临床对照试验、系统评价文献,参照Cochrane Handbook(5.1.0)评价偏倚风险的方法评价纳入文献的研究质量,并用Rev Man 5.3.3软件对每一个结局指标进行Meta分析。结果:共纳入16篇文献(1632例患者),但大部分文献的方法学质量不高。Meta分析显示,耳穴压豆改善便秘有效率与对照组比较有统计学差异(OR=4.10,P<0.001)、耳穴压豆组便秘发生率与对照组比较有统计学差异(OR=0.22,P<0.001)。结论:耳穴压豆能有效防治便秘,但由于部分研究质量不高,因此上述结论需大样本、高质量的临床随机对照研究加以验证。

Objective： To evaluate the effects of Ear-Acupressure in management of constipation. Methods： The authors searched Pubmed, The Cochrane Library, CNKI, VIP from inception to 20th April 2016, and retrieved Clinical Controlled Trials （CCTs） or Randomized Controlled Trials （RCTs） or Systematic Review （SR） in which Ear-Acupressure was used as an intervention to constipation, and all the trials were published in English or Chinese. The methodological quality of included studies was assessed according to the standard of Cochrane systematic review. RevMan 5.3.3 software was used for Meta-analysis. Results： 16 studies （1632 cases） were included. The methodological quality of most studies was low. The results of Meta-analyses showed that Ear-Acupressure improved the effects of constipation management and decrease the constipation incidence significantly compared to the control group. Conclusion： Ear-Acupressure shows an effective tendency in management of constipation, but this conclusion needs to be verified by more high quality studies.