手动治疗对功能性便秘患者的影响:随机临床试验的系统审查和元分析
Irene Torres-Sánchez1, Andrea Ramírez-Zafra2, Elisabet Rueda-García2
1Physical therapy department, Faculty of health sciences, University of Granada, Granada, Spain.
Journal of manipulative and physiological therapeutics
|November 12, 2025
概括
手动治疗显著改善功能性便秘 (FC) 症状,包括严重程度,生活质量和排便. 腹部按摩也显示出好处,但由于研究异质性,结果各不相同.
科学领域:
- 胃肠病学 胃肠病学
- 物理疗法物理治疗
- 基于证据的医学基于证据的医学.
背景情况:
- 功能性便秘 (FC) 是一种影响成人的普遍胃肠道疾病.
- 目前对FC的管理策略存在局限性.
- 手动治疗为FC提供了潜在的非药物治疗方法.
研究的目的:
- 系统地审查和分析手动治疗技术对功能性便秘的成年人的影响.
- 评估手动治疗在改善便秘严重程度,生活质量和排便参数方面的有效性.
主要方法:
- 在四个数据库 (CINAHL,PubMed,Scopus,Web of Science) 进行了全面的搜索.
- 纳入标准遵循PICOS随机临床试验建议.
- 使用已知工具评估了方法质量和偏差风险;使用RevMan 5.4.4进行了元分析.
主要成果:
- 15项随机临床试验 (859名患者) 纳入了系统性审查;11项纳入了元分析.
- 与没有手动治疗相比,手动治疗显著改善了便秘严重程度,状态,生活质量 (QOL),排便频率和持续时间.
- 腹部按摩和手动治疗 (单独或结合) 也显著改善了便秘的严重程度.
结论:
- 手动治疗是一种有效的干预措施,可以改善FC成年人的便秘严重程度,状态,QOL和排便.
- 腹部按摩显示为治疗便秘严重性的有前途.
- 研究中的高度异质性需要谨慎地解释研究结果.
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