摘要
目的:系统评价经皮穴位电刺激(TEAS)对乳腺癌手术术后疼痛及不良反应的影响。方法:计算机检索主要数据库中发表的乳腺癌手术应用经皮穴位电刺激的随机对照试验。2名研究人员独立进行文献检索和筛选,对最终纳入文献进行资料提取及质量评价。采用RevMan5.3进行Meta分析。结果:共纳入7篇文献,共计448例患者。Meta分析结果表明经皮穴位电刺激在降低乳腺癌术后6h和12hVAS评分上优于对照组,且在减少术后不良反应发生率方面优于对照组。但在降低术后24h和48hVAS评分上差异均无统计学意义(P>0.05)。结论:在乳腺癌手术中应用经皮穴位电刺激能够减轻术后早期疼痛,减少术后不良反应发生。但由于所纳入文献整体质量偏低,结论有待进一步证实。
Objective:To systematically evaluate the effects of transcutaneous electrical acupoint stimulation (TEAS) on pain and adverse reactions after breast cancer surgery.Methods:Computerized retrieval of major databases published randomized controlled trials of transcutaneous electrical acupoint stimulation for breast cancer surgery.Two researchers independently conducted literature retrieval and screening,and conducted information extraction and quality evaluation for the final included literature.Data analysis with RevMan5.3 software.Results:A total of 448 patients were included in 7 pieces of literature.The results of meta-analysis showed that transcutaneous electrical acupoint stimulation was better than the control group in reducing the VAS scores at 6h and 12h postoperatively for breast cancer,and it was better than the control group in reducing the incidence of postoperative adverse reactions.However,there was no statistically significant difference in the reduction of postoperative VAS scores at 24h and 48h (P>0.05).Conclusion:In the operation of breast cancer,transcutaneous electrical acupoint stimulation can alleviate early postoperative pain and reduce postoperative adverse reactions.However,due to the low quality of the included literature,the conclusion needs to be further confirmed.
作者
付思思
岳增辉
FU Sisi;YUE Zenghui(Hunan University of Chinese Medicine,Hunan Changsha 410208,China)
出处
《中医药临床杂志》
2020年第1期98-103,共6页
Clinical Journal of Traditional Chinese Medicine
基金
湖南省研究生科研创新项目(CX20190558)
关键词
经皮穴位电刺激
乳腺癌手术
随机对照试验
META分析
Transcutaneous electrical acupoint stimulation
Breast cancer surgery
Randomized controlled trial
Meta-analysis
作者简介
付思思(1995-),女,硕士。研究方向:刺法灸法与经穴特异性研究。Email:792365443@qq.com;通讯作者:岳增辉(1966-),男,博士,教授,博士研究生导师。研究方向:刺法灸法与经穴特异性研究。Email:624755064@qq.com。
