Effect of warm acupuncture and acupoint massage on postoperative gastrointestinal function in gastric cancer surgery patients: A meta-analysis.

IF 1.7 4区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

World Journal of Gastrointestinal Surgery Pub Date : 2025-09-27 DOI:10.4240/wjgs.v17.i9.106654

Hai-Chun Ji, Ling-Juan Nie, Jia-Xi Wu, Xiao Liu, Xiao Zheng

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Abstract

Background: This study seeks to systematically assess the effects of warm acupuncture combined with acupoint massage on the recovery of gastrointestinal function following gastric cancer surgery.

Aim: To evaluate the impact of warm acupuncture combined with acupoint massage on postoperative gastrointestinal function recovery after gastric cancer surgery, based on a systematic review and meta-analysis.

Methods: A comprehensive search was conducted across multiple databases, including PubMed, Cochrane Library, EMBASE, Web of Science, CNKI, Wanfang, and VIP, for relevant studies published up to January 2025. Meta-analyses were carried out using RevMan 5.4, with results presented as standardized mean difference (SMD) or odds ratio with 95% confidence interval (CI). Study heterogeneity was evaluated using the I ² statistic, and sensitivity analyses were performed to assess the stability of the findings.

Results: A total of 8 randomized controlled trials involving 694 patients were included. The meta-analysis showed that warm acupuncture combined with acupoint massage significantly improved postoperative gastrointestinal function by reducing the time to first flatus (SMD = -2.14, 95%CI: -3.14 to -1.14, P < 0.0001), time to first bowel movement (SMD = -2.43, 95%CI: -3.52 to -1.34, P < 0.0001), time to bowel sounds recovery (SMD = -3.15, 95%CI: -4.50 to -1.80, P < 0.00001), and time to initiate nasogastric or jejunal feeding (SMD = -1.31, 95%CI: -2.44 to -0.18, P = 0.02).

Conclusion: The combination of warm acupuncture and acupoint massage markedly enhances gastrointestinal recovery following surgery.

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温针与穴位按摩对胃癌术后患者胃肠功能的影响：meta分析。

背景：本研究旨在系统评估温针配合穴位按摩对胃癌术后胃肠功能恢复的影响。目的：通过系统综述和meta分析，探讨温针配合穴位按摩对胃癌术后胃肠功能恢复的影响。方法：综合检索PubMed、Cochrane Library、EMBASE、Web of Science、CNKI、万方、VIP等数据库，检索截至2025年1月发表的相关研究。采用RevMan 5.4进行meta分析，结果以标准化平均差（SMD）或95%可信区间（CI）的优势比表示。使用i2统计量评估研究异质性，并进行敏感性分析以评估研究结果的稳定性。结果：共纳入8项随机对照试验，694例患者。荟萃分析表明,温暖针灸结合穴位按摩显著提高术后胃肠功能通过减少时间第一个屁(SMD = -2.14, 95% ci: -3.14 ~ -1.14, P < 0.0001),首次排便时间(SMD = -2.43, 95% ci: -3.52 ~ -1.34, P < 0.0001),肠鸣音恢复时间(SMD = -3.15, 95% ci: -4.50 ~ -1.80, P < 0.00001),和时间来启动胃和空肠喂养(SMD = -1.31, 95% ci: -2.44 ~ -0.18, P = 0.02)。结论：温针配合穴位按摩可明显促进术后胃肠功能恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Gastrointestinal Surgery Multiple-

自引率

5.00%

发文量

111