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| 经皮穴位电刺激用于髋关节置换术后镇痛效果的Meta分析 |
| Effect of transcutaneous electrical acupoint stimulation for analgesia after hip arthroplasty: a meta-analysis |
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| DOI：10.12089/jca.2021.08.013 |
| 中文关键词: 经皮穴位电刺激 髋关节置换术 术后疼痛 Meta分析 |
| 英文关键词: Transcutaneous electric acupoint stimulation Hip arthroplasty Postoperative pain Meta-analysis |
| 基金项目:甘肃省科技计划资助项目临床医学研究中心建设（20JR10RA435）；甘肃省科技计划资助项目重点研发计划（20YF8FA088） |
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| 中文摘要: |
目的 系统评价经皮穴位电刺激（TEAS）对于髋关节置换术后疼痛的疗效。
方法 系统检索PubMed、Cochrane library、Web of science、Embase、中国生物医学数据库、中国知网、维普及万方等数据库，搜集从建库至2020年9月关于TEAS用于髋关节置换手术的研究。由两名研究人员独立完成文献筛选、数据提取及质量评价，并采用RevMan5.3软件进行Meta分析。
结果 共纳入9项随机对照研究，患者674例，其中TEAS组336例，对照组338例。与对照组比较，TEAS组术后24、48、72 h VAS疼痛评分明显降低（MD=-0.66，95%CI -1.10～-0.23，P＜0.05；MD=-0.65，95%CI -1.05～-0.25，P＜0.05；MD=-0.92，95%CI -1.44～-0.39，P＜0.05），术后阿片类药物消耗量明显减少（SMD=-1.00，95%CI -1.82～-0.18，P＜0.05），术后恶心呕吐发生率明显降低（RR=0.48，95%CI 0.36～0.63，P＜0.05），术后头晕发生率明显降低（RR=0.38，95%CI 0.18～0.80，P＜0.05）。两组术后尿潴留、皮肤瘙痒发生率差异无统计学意义。
结论 TEAS可缓解髋关节置换术后疼痛、降低术后不良反应发生率。 |
| 英文摘要: |
Objective To systematically review the effectiveness and safety of transcutaneous electrical acupoint stimulation (TEAS) in relieving pain after hip arthroplasty.
Methods A systematic search was performed in PubMed, Cochrane library, Web of science, Embase, CBM, CNKI, VIP and WanFang databases from inception to September 2020 to collect randomized controlled trials (RCTs) on TEAS for hip arthroplasty surgery. Two reviewers screened literatures, conducted data extraction and quality assessment independently. Meta-analysis was performed using RevMan 5.3 software.
Results Nine RCTs involving 674 patients were included, 336 patients in the TEAS group and 338 patients in the control group. The results of the Meta analysis showed that the postoperative 24, 48 and 72 hours VAS pain scores (MD = -0.66, 95% CI -1.10 to -0.23, P < 0.05; MD = -0.65,95% CI -1.05 to -0.25,P < 0.05; MD = -0.92,95% CI -1.44 to -0.39,P < 0.05), consumption of postoperative analgesics (SMD = -1.00, 95% CI -1.82 to -0.18, P < 0.05), the incidence of postoperative nausea and vomiting (RR = 0.48, 95% CI 0.36 to 0.63, P < 0.05) and postoperative dizziness (RR = 0.38, 95% CI 0.18 to 0.80, P < 0.05) of the TEAS group were lower than those of the control group. There was no significant difference in postoperative urine retention and skin itching between two groups.
Conclusion TEAS may be effective in relieving pain after hip replacement and reduce the incidence of adverse reactions after surgery. |
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