穴位按摩对妇科腹腔镜术后病人胃肠功能恢复影响的Meta分析

Influence of acupoint massage on gastrointestinal function recovery of patients after gynecologic laparoscopic surgery:a Meta-analysis

目的:分析穴位按摩对妇科腹腔镜术后病人胃肠功能恢复的影响。方法:计算机检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库、PubMed、Web of Science数据库中有关穴位按摩对妇科腹腔镜术后病人胃肠功能恢复影响的随机对照试验,同时增加手工检索,检索时限为建库至2022年11月。由2名研究者独立对纳入文献进行质量评价和资料提取,采用RevMan 5.4软件进行Meta分析。结果:共纳入9篇文献。Meta分析结果显示,干预组肛门首次排气时间[MD=-7.89,95%CI(-10.09,-5.69),P<0.00001]、肠鸣音恢复时间[MD=-3.24,95%CI(-5.59,-0.89),P=0.007]、排便时间[MD=-11.85,95%CI(-13.34,-10.07),P<0.00001]早于对照组;胃肠功能恢复总疗效[RR=1.56,95%CI(1.09,2.25),P=0.02]高于对照组,差异均有统计学意义。结论:现有证据表明,穴位按摩能缩短妇科腹腔镜术后病人肛门首次排气时间、肠鸣音恢复时间、排便时间,提高胃肠功能恢复总疗效。

Objective:To analyze the influence of acupoint massage on gastrointestinal function recovery of patients after gynecological laparoscopy.Methods:Randomized controlled trails on the influence of acupoint massage on gastrointestinal function recovery of patients after gynecological laparoscopy were retrieved from CNKI,CBM,WanFang Database,VIP,PubMed,and Web of Science.The retrieval time was from inception to November 2022.Two investigators independently performed quality assessment and data extraction of the included literature.RevMan 5.4 software was used for Meta-analysis.Results:A total of 9 studies were included.The Meta-analysis results showed that the of the first anal exhaust time[MD=-7.89,95%CI(-10.09,-5.69),P<0.00001],bowel sounds recovery time[MD=-3.24,95%CI(-5.59,-0.89),P=0.007],and defecation time[MD=-11.85,95%CI(-13.34,-10.07),P<0.00001]in the intervention group were earlier than those in the control group;Total effect of gastrointestinal recovery[RR=1.56,95%CI(1.09,2.25),P=0.02]was higher than that of the control group,and the difference was statistically significant.Conclusion:Current evidence shows that acupoint massage can shorten the first anus exhaust time,bowel sound recovery time,defecation time of patients after gynecological laparoscopic surgery,and improve total effect of gastrointestinal recovery.