在全身麻醉后预防术后恶心和吐的针点刺激的比较有效性:随机试验的网络元分析
Ting Zhou1, Huaijin Hou2, Zhuoma Cairen3
1Department of Anesthesiology, Jingmen People's Hospital, Jingmen, Hubei.
International journal of surgery (London, England)
|January 14, 2025
概括
针点刺激,包括TEAS和电针,可以有效地预防全身麻醉后的术后恶心和吐 (PONV). 这些方法,有或没有抗药,显著降低了PONV发病率.
科学领域:
- 麻醉学和疼痛管理
- 整合和补充医学是整合和补充医学.
- 手术结果研究研究.
背景情况:
- 手术后恶心和吐 (PONV) 是全身麻醉后的一个常见并发症.
- 对PONV有效的预防策略对于改善患者的康复和满意度至关重要.
- 针点刺激已经成为PONV预防的潜在非药物干预措施.
研究的目的:
- 系统地评估各种针点刺激技术在预防PONV方面的比较有效性.
- 评估针点刺激对恶心,吐和救援抗药物需要的发生率的影响.
- 为临床实践提供基于证据的建议,关于PONV预防中的针点刺激.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Web of Science,Embase) 进行了全面的文献搜索,截至2023年7月.
- 50个随机对照试验涉及7372名参与者被纳入了网络元分析.
- 研究选择,数据提取和偏差风险评估由两名独立审稿人进行.
主要成果:
- 抗药物治疗单独显著减少了术后吐 (POV),但没有术后恶心和吐 (PONV) 或术后恶心 (PON).
- 通过皮肤进行电针点刺激 (TEAS) 和电针都显著降低了PONV,PON和POV的发生率.
- 将针点刺激与抗药物结合起来,通常比单一模式干预更有效.
结论:
- 通过皮肤进行电针点刺激 (TEAS) 和电针在全身麻醉后有效降低PONV.
- 这些针点刺激方法无论单独使用还是与抗药物一起使用,都显示出显著的益处.
- 针点刺激代表了宝贵的辅助疗法在术后环境中PONV管理.
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