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针刺治疗术后胃瘫综合征有效性的Meta分析

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目的 系统评价针刺治疗术后胃瘫综合征的有效性.方法 计算机检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方、维普、中国生物医学文献数据库,纳入针刺治疗术后胃瘫综合征的随机对照研究(RCT),检索时间为从建库至2023年5月,采用RevMan 5.3软件进行Meta分析.结果 共纳入15篇RCTs,患者1 072例,其中针刺组545例,对照组527例.与对照组比较,针刺组治疗总有效率明显升高(RR=1.17,95%CI 1.08~1.27,P<0.01),术后胃泌素(SMD=1.86,95%CI 1.40~2.32,P<0.01)、胃动素(SMD=1.53,95%CI 0.99~2.06,P<0.01)水平明显升高,术后胃肠功能恢复时间明显缩短(MD=-4.53 d,95%CI-6.51-2.55 d,P<0.01).结论 针刺可提高术后胃瘫综合征治疗总有效率,升高术后胃泌素、胃动素水平,促进术后胃动力恢复.
Efficacy of acupuncture in the trentment of postoperative gastroparesis syndrome:a meta analysis
Objective To systematically review the efficacy of acupuncture in the treatment of post-operative gastroparesis syndrome.Methods Computer searches were conducted on PubMed,Embase,Web of Science,Cochrane Library,CNKI,Wanfang,VIP,and Chinese biomedical literature database.The ran-domized controlled trial(RCT)on postoperative gastroparesis syndrome after acupuncture treatment was in-cluded.The retrieval time was from the establishment of the database to May 2023.Meta-analysis was per-formed using RevMan 5.3 software.Results Fifteen RCTs involving 1 072 patients were included,545 pa-tients in the acupuncture group and 527 patients in the control group.Compared with the control group,the effective rate of treatment in the acupuncture group was significantly increased(RR=1.08,95%CI 1.09 to 1.27,P<0.01),the levels of gastrin(SMD=1.86,95%CI 1.40 to 2.32,P<0.01)and motilin(SMD=1.53,95%CI 0.99 to 2.06,P<0.01)after operation were significantly increased,the recovery time of postoperative gastrointestinal function was significantly shortened(MD=-4.53 d,95%CI-6.51 to-2.55 d,P<0.01).Conclusion Acupuncture can improve the effective rate of PGS treatment,in-crease the levels of Gastrin and motilin after operation,and promote the recovery of gastric motility after op-eration.

AcupuncturePostoperative gastroparesis syndromeGastrinMotilinMeta-analysis

马丽、陈丽萍、徐紫清、薛建军

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730050 兰州市,甘肃省中医院麻醉科

针刺 术后胃瘫综合征 胃泌素 胃动素 Meta分析

重点研发计划-社会发展类

23YFFA0053

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(10)
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