The clinical effectiveness of transcutaneous electrical nerve stimulation on enhancing recovery after cesarean section: A systematic review and meta-analysis

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY

Current Women s Health Reviews Pub Date : 2023-07-31 DOI:10.2174/1573404820666230731100639

Muayad Albadrani, A. Elhusein, Hammad Ali Fadlalmola, Abdalla Mohamed Osman, Hamza Hosean Balola, Elturabi Elsayed Ebrahim, Muhannad saud albadrani, Amira Mohamed Saad Mohammed, Sitelgeel Hamouda Babiker, Elhadi Miskeen, S. Elnour, Mariam Yousif Elhussain

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引用次数: 0

Abstract

The transcutaneous electrical nerve stimulation TENS was used following several surgical procedures involving gynecological ones and has shown a successful pain reduction rate. TENS was proposed to enhance recovery after cesarean section CS. This systematic review and meta-analysis were conducted to evaluate the clinical effectiveness of Transcutaneous electrical nerve stimulation TENS in enhancing recovery after a cesarean section. We performed the Meta-analyses using RevMan software. Data were pooled as mean difference (MD) if continuous and risk ratio (RR) if dichotomous, and the 95% confidence interval (CI) as calculated. This systematic review included 12 RCTs, with a total of 1,116 women studied. The TENS effectively reduced the intensity of pain just by following its application (SMD=-0.61; 95% CI [-0.82, -0.39], P<0.00001), one day after (SMD=-0.25; 95% CI [-0.47, -0.04], P=0.02), and two days after (SMD=-0.27; 95% CI [-0.50, -0.03], P=0.03). The TENS effectively reduces the pain intensity following its application and after one or two days. TENS has no effect on the cumulative dose of diclofenac. Because of the inadequacy of safety data, we recommend conducting further RCTs.

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经皮神经电刺激促进剖宫产术后恢复的临床效果:系统回顾和荟萃分析

经皮神经电刺激TENS在包括妇科手术在内的几个外科手术后使用，并显示出成功的疼痛减轻率。建议采用TENS来提高剖宫产术后CS的恢复。本系统综述和荟萃分析旨在评价经皮神经电刺激TENS在促进剖宫产术后恢复中的临床效果。我们使用RevMan软件进行meta分析。将数据汇总为连续组的平均差(MD)和二分组的风险比(RR)，并计算95%置信区间(CI)。该系统综述包括12项随机对照试验，共研究了1116名女性。TENS仅在应用后即可有效降低疼痛强度(SMD=-0.61;95% CI [-0.82， -0.39]， P<0.00001)，术后1天(SMD=-0.25;95% CI [-0.47， -0.04]， P=0.02)和术后2 d (SMD=-0.27;95% ci [-0.50， -0.03]， p =0.03)。TENS有效地减少了其应用后的疼痛强度，并在一到两天后。TENS对双氯芬酸的累积剂量没有影响。由于安全性数据的不足，我们建议进行进一步的随机对照试验。

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来源期刊

Current Women s Health Reviews OBSTETRICS & GYNECOLOGY-

CiteScore

0.70

自引率

25.00%

发文量

期刊介绍： Current Women"s Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal"s aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.