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中医护理技术对混合痔术后尿潴留干预效果的网状Meta分析

A network Meta-analysis of the effectiveness of traditional Chinese medicine nursing techniques on postoperative urinary retention of mixed hemorrhoids

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目的:运用网状Meta分析评价不同中医护理技术对混合痔术后尿潴留(POUR)的干预效果,为临床护理实践提供参考.方法:检索PubMed、Embase、Cochrane Library、Web of Science、万方、维普(VIP)、中国生物医学文献服务系统(SinoMed)、中国知网(CNKI)中有关应用中医护理技术干预混合痔POUR的随机对照试验,检索时限为建库至 2024 年1 月,应用Stata 17.0 软件进行分析.结果:最终纳入32 篇文献,包含3 415例患者,涉及13 种干预措施.在混合痔POUR发生率方面,排名前5 的干预措施依次为热熨法+耳穴贴压、热熨法+灸法、热熨法+穴位按摩、穴位按摩+灸法、耳穴贴压+灸法;在混合痔POUR治疗有效率方面,排名前5 的干预措施依次为耳穴贴压、热熨法、穴位贴敷+灸法、灸法、热熨法+灸法.结论:当前证据表明,中医护理技术对混合痔POUR干预效果显著优于常规治疗措施,在预防POUR方面可选择热熨法联合耳穴贴压,治疗方面可选择耳穴贴压,但该研究存在一定局限性,结论仍有待进一步验证.
Objective:To evaluate the intervention effects of different traditional Chinese medicine nursing techniques on urinary retention after mixed hemorrhoid surgery by using network Meta-analysis,which can provide a reference for clinical nursing practice.Methods:Randomized controlled trials on the application of traditional Chinese medicine nursing techniques for urinary retention after mixed hemorrhoid surgery were searched in PubMed,Embase,Cochrane Library,Web of Science,Wanfang,VIP,SinoMed,and China National Knowledge Infrastructure(CNKI).The search period was from the inception of the databases to January 2024.Data analysis was conducted using Stata 17.0 software.Results:A total of 32 articles involving 3 415 patients and 13 interventions were included.For reducing the occurrence rate of postoperative urinary retention after mixed hemorrhoid surgery,5 optimal intervention measures were selected,which were in order:hot medicinal compress therapy combined with auricular plaster therapy,hot medicinal compress therapy combined with moxibustion,hot medicinal compress therapy combined with acupoint massage,acupoint massage combined with moxibustion,auricular plaster therapy combined with moxibustion.In terms of the effective rate of treating postoperative urinary retention,the top 5 intervention measures were auricular plaster therapy,hot medicinal compress therapy,acupoint application combined with moxibustion,moxibustion,hot medicinal compress therapy combined with moxibustion.Conclusion:Current evidence indicates that the intervention effects of traditional Chinese medicine nursing technology on postoperative urinary retention after mixed hemorrhoids operation are significantly better than those of conventional treatment measures.For the prevention of postoperative urinary retention,hot medicinal compress therapy combined with auricular plaster therapy is recommended,while auricular point sticking alone is suitable for the treatment of postoperative urinary retention.However,there are certain limitations in this study,and the conclusion remains to be further verified.

traditional Chinese medicine nursingmixed hemorrhoidsurinary retentionnetwork Meta-analysis

袁梅、阙湘、邹兴顺、何艾林、青晨、胡银、毛丽芳

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川北医学院附属医院 护理部,四川 南充 637000

川北医学院附属医院 内分泌科,四川 南充 637000

川北医学院附属医院 泌尿外科,四川 南充 637000

中医护理 混合痔 尿潴留 网状Meta分析

川北医学院临床医学院附属医院科研发展计划项目

2023MPZK010

2024

现代医学
东南大学

现代医学

CSTPCD
影响因子:0.703
ISSN:1671-7562
年,卷(期):2024.52(10)