针刺对腹腔镜胆囊切除术患者疼痛强度、恶心和呕吐的影响：一项荟萃分析研究。

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-02-01 DOI:10.1097/SLE.0000000000001349

Xi Tang, Shijie Qu

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引用次数: 0

摘要

背景：针刺在缓解腹腔镜胆囊切除术后疼痛方面可能具有一定的潜力，本荟萃分析旨在探讨针刺对腹腔镜胆囊切除术患者疼痛强度、恶心呕吐的影响。方法：系统检索PubMed、EMbase、Web of science、EBSCO、Cochrane图书馆数据库、中国知网（CNKI）、维普网（VIP）、王方网（Wangfang）等数据库，纳入评估针刺对腹腔镜胆囊切除术患者疼痛控制效果的随机对照试验（RCTs）。结果：meta分析纳入5项rct和366例患者。总体而言，与腹腔镜胆囊切除术的对照干预相比，针刺与6小时疼痛评分显著降低相关[平均差值(MD)=-0.86；95% CI=-1.37 ~ -0.34；P=0.001, 2个rct)和8 ~ 10小时疼痛评分(MD=-0.71；95% CI=-1.13 ~ -0.28；P=0.001, 2个rct)，恶心发生率降低(优势比=0.10；95%可信区间= 0.03 - -0.34;P=0.0003, 3个rct)和呕吐(优势比=0.11；95%可信区间= 0.01 - -0.85;P=0.03, 3个rct)，但对12 ~ 24小时疼痛评分无明显影响(MD=-0.38；95% CI=-1.02 ~ 0.27；P=0.25, 2个rct)。结论：针刺可有效减轻腹腔镜胆囊切除术患者的疼痛强度、恶心和呕吐。

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The Impact of Acupuncture on Pain Intensity, Nausea, and Vomiting for Laparoscopic Cholecystectomy: A Meta-analysis Study.

Background: Acupuncture may have some potential in pain relief after laparoscopic cholecystectomy, and this meta-analysis aims to explore the impact of acupuncture on pain intensity, nausea and vomiting for patients undergoing laparoscopic cholecystectomy.

Methods: PubMed, EMbase, Web of science, EBSCO, Cochrane library databases, CNKI, VIP, and Wangfang were systematically searched, and we included randomized controlled trials (RCTs) assessing the effect of acupuncture on pain control for laparoscopic cholecystectomy.

Results: Five RCTs and 366 patients were included in the meta-analysis. Overall, compared with control intervention for laparoscopic cholecystectomy, acupuncture was associated with significantly reduced pain scores at 6 hours [mean difference (MD)=-0.86; 95% CI=-1.37 to -0.34; P =0.001, 2 RCTs) and pain scores at 8 to 10 hours (MD=-0.71; 95% CI=-1.13 to -0.28; P =0.001, 2 RCTs), decreased incidence of nausea (odds ratio=0.10; 95% CI=0.03-0.34; P =0.0003, 3 RCTs), and vomiting (odds ratio=0.11; 95% CI=0.01-0.85; P =0.03, 3 RCTs), but demonstrated no obvious impact on pain scores at 12 to 24 hours (MD=-0.38; 95% CI=-1.02 to 0.27; P =0.25, 2 RCTs).

Conclusions: Acupuncture may be effective to reduce pain intensity, nausea, and vomiting for laparoscopic cholecystectomy.

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.