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| 针刺联合颈部阻滞对麻醉效果影响的Meta分析 |
| Effect of acupuncture combined nerve block on patients undergoing surgery: a meta-analysis |
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| DOI：10.12089/jca.2018.02.014 |
| 中文关键词: 针刺 神经阻滞 手术 Meta分析 |
| 英文关键词: Acupuncture Nerve block Surgery Meta-analysis |
| 基金项目:国家自然科学基金(81271201, 81772130) |
| 作者 | 单位 | E-mail | | 崔波 | 610041,成都市, 四川大学华西医院麻醉科 | | | 唐艺丹 | 610041,成都市, 四川大学华西医院麻醉科 | | | 周建雄 | 610041,成都市, 四川大学华西医院麻醉科 | | | 吴俊梅 | 香港大学中西药学院 | | | 刘进 | 610041,成都市, 四川大学华西医院麻醉科 | | | 龚春雨 | 四川大学华西第四医院外科 | | | 杨磊 | 610041,成都市, 四川大学华西医院麻醉科 | | | 杨静 | 610041,成都市, 四川大学华西医院麻醉科 | hxyangjing@qq.com |
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| 中文摘要: |
| 目的 通过Meta分析的方法评价针刺联合神经阻滞应用于手术患者的麻醉效果。方法 计算机检索Pubmed、Cochrane library、Embase、CNKI、维普和万方数据库, 检索年限为数据库建库至2017年5月。收集所有关于针刺麻醉联合神经阻滞用于手术患者的随机对照试验(randomized controlled trial, RCT), 按照纳入与排除标准筛选、提取与评估方法学质量。采用RevMan 5.3软件进行统计分析。结果 最终纳入5篇RCT文献, 共计382例患者。Meta分析结果显示: 与单独神经阻滞组(对照组)比较,针刺联合神经阻滞组(试验组)术中血压差(MD=-13.62, 95%CI -15.41～-11.84, P＜0.001)和心率差(MD=-6.49, 95%CI -8.61～-2.36, P＜0.001)明显减小, 并且术后8 h(MD=-1.07, 95%CI -1.38～-0.75, P＜0.001), 12 h(MD=-1.11, 95%CI -1.30～-0.93, P＜0.001)及24 h(MD=-0.15, 95%CI -0.25～-0.04, P=0.006)VAS评分均明显降低。结论 针刺联合神经阻滞可能具有改善围术期血流动力学波动, 并能起到术后镇痛的作用。 |
| 英文摘要: |
| Objective To evaluate the effect of acupuncture combined nerve block for surgery using meta-analysis. Methods We searched the data of randomized controlled trial (RCT) in Pubmed, Cochrane library, Embase, CNKI, VIP and Wanfang from the construction of database to May 2017. All RCTs that met the standards of acupuncture combined nerve block for patients undergoing surgery were collected. The meta-analysis was performed by Review Manager 5.3. Results Five trials containing 382 patients were included in this meta-analysis. Compared with nerve block alone, the pooled data showed that acupuncture combined nerve block reduced the fluctuation of intraoperative blood pressure (MD=-13.62, 95%CI -15.41--11.84, P＜0.001) and heart rate (MD=-6.49, 95%CI -8.61--2.36, P＜0.001), and VAS scores 8 h (MD=-1.07, 95%CI -1.38--0.75, P＜0.001), 12 h (MD=-1.11, 95%CI -1.30--0.93, P＜0.001) and 24 h (MD=-0.15, 95%CI -0.25--0.04, P=0.006) after operation in the experimental group. Conclusion Acupuncture combined nerve block possibly improves the hemodynamic parameters and postoperative pain of patients undergoing surgery. |
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