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肌内效贴对妊娠期腰痛疗效的meta分析

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目的 评价肌内效贴在妊娠期腰痛中的应用效果。方法 计算机检索中国知网(CNKI)、万方数据库、维普网(VIP)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library、Embase、Web of Science数据库中关于肌内效贴对妊娠期腰痛疗效的随机对照试验。检索时间为建库至2024年2月20日,由2名研究者严格筛选文献、提取资料、质量评价,对结局指标满足meta分析的,应用RevMan 5。4软件进行meta分析;反之,则进行描述性分析。结果 最终纳入9篇文献,共570例患者。meta分析显示:肌内效贴在改善视觉模拟评分法(VAS 评分)(SMD=-1。57,95%CI:-2。11~-1。02,P<0。000 01)及 Roland-Morris 功能障碍调查表(RMDQ)方面(SMD=-1。15,95%CI:-1。81~-0。49,P=0。000 6)均优于对照组;描述性分析显示:肌内效贴可能会改善孕妇躯干角大小、腰椎活动范围、Oswestry功能障碍指数问卷表(ODI)、Zung焦虑自评量表(SAS);Zung抑郁自评量表(SDS)、骨盆带疼痛问卷(PGQ)分值,但对腰椎弯曲程度、步行速度的改善无显著作用。结论 肌内效贴可以缓解妊娠期妇女腰痛,改善其腰部功能;但对改善孕妇躯干角大小、腰椎活动范围、ODI、SAS、SDS、PGQ分值均尚不明确,对孕妇腰椎弯曲程度、步行速度的作用不显著。
Meta-analysis of the efficacy of kinesio tape on low back pain in pregnancy
Objective To evaluate the efficacy of kinesio tape on low back pain during pregnancy.Meth-ods A computerized search of CNKI,Wanfang Data,VIP,CBM,PubMed,Cochrane Library,Embase,and Web of Science databases was conducted to identify randomized controlled trials on the efficacy of kinesio tape on low back pain in pregnancy.The search period was from the establishment of the database to February 20,2024,and two researchers strictly screened the literature,extracted the data,evaluated the quality,and applied RevMan 5.4 software to perform meta-analysis for the outcome indicators that met meta-analysis;otherwise,descriptive analysis was performed.Results A total of 570 patients were included in 9 papers.meta-analysis showed that the kinesio tape group was better than the control group in improving visual analog scale(VAS)score(SMD=-1.57,95%CI:-2.11--1.02,P<0.000 01)and RMDQ(SMD=-1.15,95%CI:-1.81--0.49,P=0.000 6);descriptive analysis showed that the kinesio tape may improve the size of trunk angle,lumbar spine range of motion,Oswestry Lower Back Disability Index(ODI),Zung Self-Assessment Scale for Anxiety(SAS),Self-Depression Scale(SDS),and Pelvic Girdle Questionnaire(PGQ)scores in pregnant women,but it had no significant effect on the degree of lumbar curvature and the improvement of walking speed.Conclusion Existing evidence proves that kinesio tape can relieve low back pain and improve lumbar function in pregnant women;however,the effect on improving the size of trunk angle,lumbar spine range of motion,ODI,SAS,SDS,and PGQ scores of pregnant women is still unclear,and the effect on the degree of lumbar spine curvature and walking speed of pregnant women is not significant.

Kinesio tapePregnancyLow back painMeta-analysis

肖永凤、王光扬、程雪瑾

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大理大学护理学院,云南大理 651400

云南省滇南中心医院,云南个旧 661199

肌内效贴 妊娠 腰痛 Meta分析

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(20)