中国医药科学2023，Vol.13Issue(23)：186-190,5.DOI:10.20116/j.issn2095-0616.2023.23.43
经皮穴位电刺激对肺叶切除术后辅助镇痛效果的meta分析
Meta-analysis of the effect of transcutaneous electrical acupoint stimulation on adjuvant analgesia after lobectomy
摘要
Abstract
Objective To systematically evaluate the effect of transcutaneous electrical acupoint stimulation(TEAS)for analgesia after lobectomy.Methods Two evaluators searched PubMed,Cochrane Library,Web of Science,Embase,CNKI,Wanfang,VIP and Chinese Biomedical Database.The retrieval time was from the establishment of the database to March 23,2023.Randomized controlled trials on applying TEAS for adjuvant analgesia after lobectomy were collected.Meta-analysis was performed using RevMan 5.3 software.Results A total of 5 literatures were included,with a total of 383 patients.Meta-analysis showed that visual analogue scale scores of the experimental group at 2,6,12,24 and 48 hours after surgery(2 hours after surgery,MD=-0.81,95%CI[-0.97,-0.64],P<0.00001;6 hours after surgery,MD=-1.11,95%CI[-1.48,-0.74],P<0.00001;12 hours after surgery,MD=-1.01,95%CI[-1.29,-0.74],P<0.00001;24 hours after surgery,MD=-0.92,95%CI[-1.06,-0.77],P<0.00001;48 hours after surgery,MD=-0.77,95%CI[-1.14,-0.40],P<0.0001)was significantly lower than that of the control group.There was no difference between the experimental group and the control group in the number of patient controlled intravenous analgesia(PICA)compressions(MD=-2.86,95%CI[-6.07,0.34],P=0.08)within 48 hours after surgery.Compared with the control group,the dosage of sufentanil(MD=-29.00,95%CI[-44.72,-13.28],P=0.0003)and the incidence of postoperative nausea and vomiting(PONV)(OR=0.14,95%CI[0.04,0.54],P=0.004)in experimental group were significantly decreased.Conclusion TEAS can significantly improve the analgesic effect after lobectomy,reduce the use of postoperative analgesic drugs,and reduce the incidence of PONV.关键词
经皮穴位电刺激/肺叶切除/术后辅助镇痛/术后恶心呕吐/meta分析Key words
Transcutaneous electrical acupoint stimulation/Lobectomy/Postoperative adjuvant analgesia/Postoperative nausea and vomiting/Meta-analysis分类
医药卫生引用本文复制引用
周代勇,倪广生,张怡,明润宇,徐朝军..经皮穴位电刺激对肺叶切除术后辅助镇痛效果的meta分析[J].中国医药科学,2023,13(23):186-190,5.基金项目
湖南省教育厅科学研究项目(22A0243). （22A0243）
