针在胃肠内镜中的镇静缓解作用:系统性审查和元分析
Yun Yang1, Haiyang Ji1, Yunqiong Lu1
1Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Frontiers in medicine
|July 3, 2023
概括
在胃肠内镜之前的针治疗显著减少了镇静剂的使用,加快了恢复速度. 这种方法还降低了不良事件,为接受内镜手术的患者提供了更安全的镇静体验.
科学领域:
- 综合医学是一个整体的医学.
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 胃肠内镜经常需要镇静剂,主要是普罗波,这可能导致长时间的恢复和不良影响.
- 优化镇静和恢复对于患者的舒适性和程序效率至关重要.
研究的目的:
- 系统地审查和元分析针作为胃肠道内镜治疗中普罗波镇静剂的辅助剂的疗效.
- 为了比较针 (手动和电针) 与安慰剂,假针或没有额外的治疗.
主要方法:
- 在2022年11月之前发表的随机对照试验 (RCT) 系统搜索多个数据库.
- 包括10个RCT,共有1331名参与者.
- 使用Cochrane RoB 2工具评估偏差风险;使用Stata 16.0.0分析数据.
主要成果:
- 针显著减少了镇静剂的消耗 (MD = -29.32) 和唤醒时间 (MD = -3.87).
- 副作用的发生率,包括低血压,恶心,吐和咳,在针治疗中显著降低.
- 所有结果都显示出统计学意义 (P < 0.001 消费和起床时间;P < 0.05 对不良事件).
结论:
- 针与镇静相结合,可以促进恢复,并减少胃肠内镜期间的不良影响.
- 需要进一步进行高质量的临床研究来确认和完善这些发现.
关键词:
针是一种针,针是一种针.不良事件是不良事件.结肠镜检查 结肠镜检查胃肠道内镜检查是指胃肠道内镜检查.胃镜检查 (gastroscopy) 是一种检查.普罗波福尔 (Propofol) 是一种镇静 镇静是一种镇静.唤醒时间 唤醒时间更多相关视频
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