电针治疗妇科手术后恶心呕吐的有效性和安全性Meta分析

Efficacy and safety of electroacupuncture in the treatment of postoperative nausea and vomiting after gynecological surgery: a meta-analysis

中文关键词: 电针  妇科手术  术后恶心呕吐  Meta分析

英文关键词: Electroacupuncture  Gynecological surgery  Postoperative nausea and vomiting  Meta-analysis

中文摘要:

      
目的：系统性评价电针（EA）治疗妇科手术后恶心呕吐（PONV）的有效性和安全性。
方法：计算机检索PubMed、Cochrane Library、Web of Science、Embase、中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)等，检索时间为建库至2022年12月，纳入EA用于治疗妇科手术PONV的随机对照试验，采用RevMan5. 3软件进行Meta分析。
结果：共纳入14篇文献，患者958例，其中EA组477例，对照组481例。与对照组比较，EA组术后0～48 h PONV发生率明显降低（RR=0.55，95%CI 0.47～0.65，P<0.001），术后48 h内PONV评分明显降低（MD=-0.40分，95%CI -0.65～-0.16分，P=0.001），术后补救性止吐发生率明显降低（RR=0.28，95%CI 0.16～0.51，P<0.001）。
结论：采用EA可明显降低妇科手术PONV发生率和补救性止吐的发生率。

英文摘要:

      
Objective: To systematically evaluate the efficacy and safety of electroacupuncture (EA) in the treatment of postoperative nausea and vomiting (PONV) after gynecological surgery.
Methods: PubMed, Cochrane Library, Web of Science, Embase, China national knowledge infrastructure (CNKI), Wanfang database, and China biomedical literature database (CBM) were systematically searched. The retrieval period was from the establishment of the database to December 2022. Relevant randomized controlled trials on EA for the treatment of PONV in gynecological surgery were collected. RevMan 5.3 software was used for meta-analysis.
Results: Fourteen randomized controlled trials were accommodated, including 958 patients, 477 patients in the EA group and 481 patients in the control group. Compared with the control group, the incidence of PONV was significantly lower in group EA at 0-48 hours postoperatively (RR = 0.55, 95% CI 0.47 to 0.65, P < 0.001), and the PONV scores were significantly lower in the postoperative period within 48 hours in group EA (MD = -0.40 scores, 95% CI -0.65 to -0.16 scores, P = 0.004), the incidence of postoperative remedial antiemetic were significantly lower (RR = 0.28, 95% CI 0.16 to 0.51, P < 0.001).
Conclusion: EA can reduce the incidence of PONV and the incidence of remedial antiemetic after gynecologic surgery．