治疗术后恶心和吐的电针刺激的有效性和安全性:系统性审查和元分析
Liyue Lu1, Chenlong Xie1, Xing Li2
1Department of Anesthesiology & Research Institute of Acupuncture Anesthesia, Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai, China.
PloS one
|May 31, 2023
概括
电针点刺激有效地减少了手术后的恶心和吐 (PONV) 以及对抗的救援药物的需求. 这种方法显示出作为一种安全有效的干预措施,用于管理常见的术后并发症.
科学领域:
- 麻醉学 麻醉学
- 综合医学是一个整体的医学.
- 手术并发症 手术并发症
背景情况:
- 手术后恶心和吐 (PONV) 是手术后的常见并发症.
- 目前用于PONV的药理疗法只能提供部分有效性.
- 需要对PONV.进行替代和有效的管理策略.
研究的目的:
- 系统地评估电针点刺激用于管理PONV的疗效和安全性.
- 评估支持PONV治疗中电针点刺激的证据质量.
- 为了比较电针点刺激与PONV的标准护理.
主要方法:
- 进行了全面的元分析.
- 在主要数据库中进行了搜索,包括PubMed,Embase,Cochrane图书馆,科学网和临床试验.gov.gov.
- 这项分析包括了26项涉及2064名患者的研究.
主要成果:
- 与对照治疗相比,电针点刺激显著降低了PONV,恶心和吐的发生率.
- 它还降低了对抗的救援药物的需求.
- 电针和穿皮电针点刺激都表现出显著的效果,无论施用时间 (术前,术后或术后).
- 两组之间没有观察到不良事件的显著差异.
结论:
- 电针点刺激可能有效地减少PONV发病率和救援抗药的需要.
- 这种干预措施似乎具有有利的安全性,并很少出现不良事件.
- 中等到低质量的证据支持这些发现,建议进一步研究.
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