电针促进腹腔镜胆囊切除术后胃肠功能恢复有效性的系统评价

Efficacy of electroacupuncture on the recovery of gastrointestinal function after laparoscopic cholecystectomy:a systematic review

目的:评价电针(EA)促进腹腔镜胆囊切除术(LC)后患者胃肠功能恢复的疗效。方法:检索电针治疗LC后患者的随机对照试验。检索数据库EMBASE、PubMed、Cochrane图书馆、万方学术期刊全文数据库(Wanfang)、中国知网(CNKI)、中国生物医学文献数据库(CBM)和重庆维普数据库(CQVIP)自创建至2022年12月10日的所有文献。采用RevMan 5.4.1进行meta分析。采用Cochrane工具评估偏倚风险。使用均数差(MD)和可信区间(CI)进行统计描述。结果:共纳入7项研究。Meta分析发现相较于对照组,电针组首次排气时间[P<0.001,MD=-5.32,95%CI(-6.42,-4.21)],肠蠕动恢复时间[P<0.001,MD=-6.22,95%CI(-8.11,-4.34)]和首次排便时间[P<0.001,MD=-11.08,95%CI(-15.78,-6.39)]都更短。结论:电针治疗可促进LC后患者胃肠功能的恢复。

Objective:To evaluate the efficacy of electroacupuncture(EA)in enhancing the recovery of gastrointestinal function after laparoscopic cholecystectomy(LC).Methods:Randomized controlled trials(RCTs)of EA treatment in the postoperative period of patients undergoing LC were searched.Studies were obtained from Excerpta Medica Database(EMBASE),PubMed,Cochrane Library,Wanfang Academic Journal Full-text Database(Wanfang),China National Knowledge Infrastructure(CNKI),China Biology Medicine Disc(CBM),and Chongqing VIP Database(CQVIP)from inception to December 10th,2022.RevMan 5.4.1 was used to perform the meta-analysis.The Cochrane tool was used to assess the risk of bias.Mean difference(MD)and confidence interval(CI)were used for statistical descriptions.Results:A total of 7 studies were included in the meta-analysis.The meta-analysis found that the EA group had a shorter time to the first flatus[P<0.001,MD=-5.32,95%CI(-6.42,-4.21)],bowel movement recovery[P<0.001,MD=-6.22,95%CI(-8.11,-4.34)],and the first defecation(P<0.001,MD=-11.08,95%CI(-15.78,-6.39)]than the control group.Conclusion:EA treatments can promote the recovery of gastrointestinal function after LC.