在 laparoscopic 胆囊切除术后治疗疼痛的非药理学干预措施的有效性:系统性审查和网络元分析
Ting Lei1, Yanqiong Peng2, Yuanjun Liu1
1Department of Hepato-Biliary-Pancreatic Surgery, Suining Central Hospital, Suining, Sichuan Province, People's Republic of China.
Journal of pain research
|December 26, 2025
概括
耳朵针,芳香疗法和足浴是 laparoscopic 胆囊切除术 (LC) 后术后疼痛的有效非药物干预措施. 这些方法显著减少了疼痛,但没有影响焦虑水平.
科学领域:
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
- 补充和替代医学 补充和替代医学
背景情况:
- 非药物干预对于术后疼痛是常见的,但它们的比较有效性尚未得到充分证实.
- 腹腔镜胆囊切除术 (LC) 是一种常见的手术,在此过程中疼痛管理至关重要.
- 评估各种非药物选择是必要的,以优化患者的康复.
研究的目的:
- 进行一个网络元分析 (NMA),评估术后疼痛和LC后焦虑的非药物干预措施.
- 通过比较排名来确定最有效的非药物干预措施.
- 为LC后的疼痛管理策略提供基于证据的建议.
主要方法:
- 一个系统的文献搜索在主要数据库中确定了截至2025年1月的随机对照试验 (RCT).
- 两个独立的审查员评估了研究的资格,质量 (Cochrane风险偏见2.0) 和提取的数据.
- 贝叶斯网络元分析与SUCRA (Surface Under the Cumulative Ranking Curve) 用于对干预措施的有效性进行排名.
主要成果:
- 确定了15种非药物干预,其中针,按摩和TENS是最常见的.
- 耳部针,芳香疗法 (精油疗法) 和足浴在减少LC后手术后疼痛方面排名最高.
- 与标准护理相比,耳部针 (SMD -3.61),精油疗法 (SMD -2.59) 和脚浴 (SMD -2.42) 显著改善了疼痛评分.
- 没有评估的非药物干预措施显示出对减少手术后焦虑的统计学显著影响.
结论:
- 一些非药物干预措施,特别是耳朵针,芳香疗法和足浴,可以有效地缓解腹腔镜胆囊切除术后的术后疼痛.
- 目前的证据表明,这些干预措施不会显著影响术后焦虑水平.
- 进一步的研究可能会探索结合方法或特定患者群体来解决焦虑.
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