通过皮肤进行电针点刺激,以预防腹腔镜手术后的术后恶心和吐:一个元分析
Lu Yuan1, Si-Jie Quan1, Xin-Yu Li1
1The Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
概括
皮穿式电针刺激 (TEAS) 有效地预防腹腔镜手术后的术后恶心和吐 (PONV). 这种安全的方法减少了PONV的发生率,并可能减轻患者的痛苦和护理工作量.
科学领域:
- 麻醉学和外科手术期间的医学.
- 整合和补充医学是整合和补充医学.
背景情况:
- 手术后恶心和吐 (PONV) 是一般麻醉和手术后的常见并发症.
- 腹腔镜外科手术虽然侵袭性最小,但仍然存在PONV的风险.
- 对PONV有效的预防策略对于患者的康复和满意度至关重要.
研究的目的:
- 评估通过皮肤电针点刺激 (TEAS) 预防PONV的疗效和安全性.
- 综合来自TEAS随机对照试验 (RCT) 关于PONV预防的证据.
- 评估TEAS对术后恶心和吐发作的影响.
主要方法:
- 进行了RCT的系统审查和元分析.
- 在Cochrane图书馆,PubMed,Embase和Web of Science数据库中进行了搜索.
- 使用试验序列分析 (TSA) 来估计所需的信息大小,并使用RoB 2.0评估偏差风险,GRADE评估证据质量.
主要成果:
- 这项分析包括了17个RCT,共3698名参与者.
- 与对照组相比,TEAS显著降低了PONV的总体发病率 (RR,0.56;低水平证据).
- TEAS还单独降低了术后恶心 (PON) 和术后吐 (POV) 的发生率.
结论:
- 通过皮肤进行电针点刺激 (TEAS) 是预防PONV的一种可靠和安全的干预措施.
- 使用TEAS可能会减少护理工作量和患者的情绪压力.
- 与TEAS相关的不良事件报告为轻度,支持其临床适用性.
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