针和moxibustion作为胃癌术后胃肠功能障碍的辅助疗法:一个系统的审查和网络元分析
Yangxu Ou1, Dezhi Lin1, Xixiu Ni1
1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Frontiers in medicine
|December 26, 2024
概括
针和moxibustion有效地减少胃癌患者的术后胃肠功能障碍. 这些疗法,包括针注射和针,显示相对安全,并被推作为辅助治疗.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 综合医学是一个整体的医学.
- 针研究 针研究
背景情况:
- 手术后胃肠功能障碍 (PGD) 是胃癌 (GC) 手术后的一个常见并发症.
- 有效的PGD管理对于患者的康复和减少住院时间至关重要.
- 传统治疗可能存在局限性,这促使研究补充疗法.
研究的目的:
- 评估和比较各种针和催化剂技术的疗效和安全性,作为GC患者PGD的辅助疗法.
- 根据它们的有效性,建立这些干预措施的排名等级.
主要方法:
- 在八个数据库中进行了全面的文献搜索,搜索到2024年10月的随机对照试验 (RCT).
- 使用频率模型进行了网络元分析 (NMA),以合成直接和间接的证据.
- 结果包括第一个肠道声音 (TFBS) 的时间,第一个排便时间 (TFD) 的时间和第一个空腹时间 (TFF) 的时间,按累积排名曲线 (SUCRA) 下面的表面概率排名.
主要成果:
- 分析包括28个RCT,涉及2,459名患者,18个集中在辅助针上.
- 常规护理加上针 (RC+ACU),针压力 (RC+ACUP),催化剂 (RC+MOX) 和针注射 (RC+AI) 在缩短TFBS和TFF方面排名第一.
- 对于TFD,RC+MOX+CUP和RC+MOX显示出最好的结果. 在辅助针治疗中没有报告严重不良事件. ST36,ST37,ST39和PC6都是常见的针点.
结论:
- 针和是有效和相对安全的辅助疗法,用于管理GC患者的PGD.
- 保守治疗的推顺序是RC+ACU,RC+MOX+AI,RC+ACUP,RC+MOX+CUP,以及RC+MOX.
- 由于现有研究的整体方法质量不佳,需要进一步进行高质量的RCT.
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