足部和手部按摩对腹腔镜胆囊切除术镇痛效果的Meta分析

IF 0.5 4区医学 Q4 REHABILITATION

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2023-01-07 DOI:10.1055/a-2132-6691

Jia Chen, Piyun Zhang, Yuanxiu Wei, Li Zhou, Xiao Xiao, Xiaoqiang Wan

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引用次数: 0

摘要

摘要背景足部和手部按摩可能有助于减轻腹腔镜胆囊切除术后的疼痛，本荟萃分析旨在研究足部和手部将对腹腔镜胆囊切除后疼痛强度的影响。方法系统检索PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库，并纳入随机对照试验（RCT），评估足部和手部按摩对腹腔镜胆囊切除术后疼痛的影响。结果6项随机对照试验和663名患者纳入荟萃分析。与腹腔镜胆囊切除术的对照干预相比，按摩干预显著降低了60岁时的疼痛评分 min（SMD=-0.73；95%CI=-1.27至-0.19；P=0.008），疼痛评分为90 min（SMD=-0.80；95%CI=-1.23至-0.37；P=0.0003），疼痛评分为120–150 min（SMD=-1.74；95%CI=-1.96至-1.52；P<0.00001）和额外镇痛的需要（OR=0.04；95%CI=0.002至0.07；P<.00001），但在10-30时对疼痛评分没有影响 min（SMD=-0.14；95%CI=-0.39-0.12；P=0.29）。结论足部和手部按摩可以减轻腹腔镜胆囊切除术后的疼痛强度。

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Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-Analysis

Abstract Background Foot and hand massage may benefit to alleviate pain for laparoscopic cholecystectomy, and this meta-analysis is intended to study the influence of foot and hand massage on pain intensity after laparoscopic cholecystectomy. Methods We systematically searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases, and included randomized controlled trials (RCTs) assessing the effect of foot and hand massage on postoperative pain of laparoscopic cholecystectomy. Results Six RCTs and 663 patients were included in the meta-analysis. Compared with control intervention for laparoscopic cholecystectomy, massage intervention resulted in significantly decreased pain scores at 60 min (SMD=–0.73; 95% CI=–1.27 to –0.19; P=0.008), pain scores at 90 min (SMD=–0.80; 95% CI=–1.23 to –0.37; P=0.0003), pain scores at 120–150 min (SMD=–1.74; 95% CI=–1.96 to –1.52; P<0.00001) and the need of additional analgesia (OR=0.04; 95% CI=0.02 to 0.07; P<0.00001), but demonstrated no influence on pain scores at 10–30 min (SMD=–0.14; 95% CI=–0.39 to 0.12; P=0.29). Conclusions Foot and hand massage may be able to reduce pain intensity after laparoscopic cholecystectomy.

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来源期刊

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin 医学-康复医学

CiteScore

1.10

自引率

25.00%

发文量

审稿时长

3 months

期刊介绍： The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.