Mario Alberto Bautista-Hernández , Liliana Argueta-Figueroa , Daniel Cuauhtémoc Gómez-Jiménez , Rafael Torres-Rosas
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引用次数: 0
摘要
方法按照《系统综述和元分析首选报告项目》的系统综述指南，从五个电子数据库中收集相关研究。资格标准为英文或西班牙文全文文章，采用临床试验设计和观察性研究，发表时间不限，其中评估了传统针灸、电针、激光、火针、手法刺激、推拿或穴位刺激对改善泌乳量的效果。两位作者独立提取了入选研究的特征和主要结果数据。对研究进行了偏倚风险（RoB 2 和 Robins-I）和质量评估（GRADE）。在进行定量综合时，先计算每项入选研究的标准化平均差，然后采用随机效应荟萃分析法对数据进行合并。大部分研究在偏倚风险评估方面存在一些问题。研究质量为中等。荟萃分析表明，人工刺激穴位可提高泌乳量（SMD 95% CI = 1.63 [1.13-2.13]; p < 0.0001）。
Evidencia de la estimulación de puntos de acupuntura en el tratamiento de la hipogalactia: revisión sistemática con metaanálisis
Objective
To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity.
Method
Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, electroacupuncture, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis.
Results
A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI = 1.63 [1.13-2.13]; p < 0.0001).
Conclusion
The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.
期刊介绍：
Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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