中医适宜技术对痔疮术后疼痛改善效果的网状Meta分析OA
Effect of traditional Chinese medicine appropriate techniques in improving pain after hemorrhoid surgery:A network meta-analysis
目的:采用网状Meta分析方法评价中医适宜技术在痔疮(hemorrhoid,HD)术后疼痛的改善效果.方法:检索中国知网(China National Knowledge Infrastructure,CNKI)、万方数据(WANFANG DATA)、维普中文科技期刊数据库(VIP Information,VIP)、中国生物医学文献服务系统(Chinese Biomedical Literature Service System,SinoMed)、PubMed、Web of Science、Cochrane Library、Embase 中有关中医适宜技术干预痔疮术后疼痛的随机对照试验(randomized controlled trial,RCT),检索时间为建库至2024年3月30日.采用RevMan5.4进行文献质量评价,Stata16.0进行数据分析.结果:共纳入28项RCTs,14种治疗措施,2 630例患者.Meta分析结果显示:在HD术后疼痛视觉模拟量表(Visual Analogue Scale,VAS)评分方面,经皮穴位电刺激联合治疗[MD=1.67,95％CI(0.86,2.49)]、针刺联合治疗[MD=1.40,95％CI(0.49,2.31)]、中药熏洗联合治疗[MD=0.92,95％CI(0.18,1.66)]均优于常规西医治疗,经皮穴位电刺激联合治疗最有可能成为最佳干预措施.结论:在诸多中医适宜技术中,经皮穴位电刺激联合治疗在HD术后镇痛方面可作为临床更优选择,但未来尚需纳入更多相关研究以进一步验证结论、强化证据支撑.
Objective:To evaluate the effect of traditional Chinese medicine appropriate techniques in improving pain after hemorrhoid(HD)surgery based on a network meta-analysis.Methods:CNKI,Wanfang Data,VIP,SinoMed,Pu-bMed,Web of Science,the Cochrane Library,and Embase were searched for randomized controlled trials(RCTs)on traditional Chinese medicine appropriate technology for intervention of pain after HD surgery published up to March 30,2024.RevMan 5.4 was used for quality assessment,and Stata 16.0 was used for data analysis.Results:A total of 28 RCTs were included,involving 14 treatment measures and 2 630 patients.The meta-analysis showed that compared with conventional Western medicine treatment,transcutaneous electrical acupoint stimulation(mean difference[MD]=1.67,95％con-fidence interval[CI]:0.86-2.49),combined acupuncture therapy(MD=1.40,95％CI:0.49-2.31),traditional Chinese medicine fumigation and washing(MD=0.92,95％CI:0.18-1.66)had a better effect in improving Visual Analogue Scale score for pain after HD surgery,among which transcutaneous electrical acupoint stimulation might be the best inter-ventional measure.Conclusion:Among various traditional Chinese medicine appropriate techniques,transcutaneous elec-trical acupoint stimulation may become a better option for analgesia after HD surgery in clinical practice,but more studies are needed for further validation.
唐柔;王秋婷;朱鑫鑫;隆丽芳;林美珍
湖南中医药大学,湖南 长沙,410208广州中医药大学第二附属医院,广东 广州,510120湖南中医药大学,湖南 长沙,410208湖南中医药大学,湖南 长沙,410208广州中医药大学第二附属医院,广东 广州,510120
医药卫生
痔疮术后中医适宜技术疼痛网状Meta分析
After hemorrhoid surgerytraditional Chinese medicine appropriate techniquespainnetwork me-ta-analysis
《湖南中医杂志》 2026 (1)
162-170,200,10
国家中医药管理局中医药国际合作专项(14276)
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