摘要
目的:通过荟萃分析评价耳穴贴压疗法治疗骨折术后疼痛的临床疗效。方法:系统搜索中国知网,万方数据库和维普数据库,并纳入最近10年发表的关于耳穴贴压治疗骨折术后疼痛的临床研究。经过两位研究人员独立的文献筛选,数据提取和质量评价,检索出原始数据,合并和分析初始数据,并使用RevMan 5.3软件进行荟萃分析。结果:共纳入15项随机研究1462例患者。结论:Meta分析显示,治疗组有效率明显高于对照组(OR=12.44,95%CI:7.11-21.78,P<0.00001);治疗组满意度高于对照组(P<0.01);治疗组24h模拟疼痛评分明显低于对照组(P<0.01)。Meta分析提示耳穴贴压治疗骨折术后疼痛在有效率、缓解疼痛、患者满意度方面均具有一定优势,值得临床实践推广。然而,纳入随机对照试验需要进一步大规模,高质量,多中心的随机研究验证。
Objective:To evaluate the clinical efficacy of auricular acupoint pressing in the treatment of postoperative pain of fractures by Meta-analysis.Methods:By searching through China Knowledge Network,Wanfang Database and Weipu Database,the clinical researches in the last 10 years about auricular acupoint pressing in the treatment of postoperative pain of fractures were retrieved.After independent literature screening,data extraction and quality evaluation by two researchers,the original data was retrieved,combined and analyzed,and Meta-analysis was performed by RevMan 5.3 software.Results:A total of 15 randomized trials were conducted on 1462 patients.Conclusion:Meta analysis showed that the effective rate of the treatment group was significantly higher than that of the control group(OR=12.44,9 5%Cl:7.11-21.78,P<0.OOOO1);The satisfaction of the treatment group was higher than that of the control group(P<O.Ol);The 24-hour simulated pain score was significantly lower than the control group(P<0.01).Meta-analysis suggests that auricular acupoint pressing in the treatment of postoperative pain of fractures has certain advantages in terms of effectiveness,pain relief,and patient satisfaction,which is worthy of clinical practice.However,the randomized controlled trialsrequires further large-scale,high-quality,multicenter randomized trials.
作者
张亚倩
孙霞
钟艳
曹君玉
周晓英
ZHANG Yaqian;SUN Xia;ZHONG Yan;CAO Junyu;ZHOU Xiaoying(Hunan University of Chinese Medicine Hunan Changsh 410208,China;Hunan Wangwang Hospital Hunan Changsh 410208,China;Changsha Eighth Hospital Hunan Changsh 410208,China;Changsha Third Hospital Hunan Changsh 410208,China)
出处
《中医药临床杂志》
2019年第10期1867-1871,共5页
Clinical Journal of Traditional Chinese Medicine
基金
湖南省针灸重点学科资助项目
关键词
耳穴贴压
骨折术后疼痛
临床研究
META分析
Auricular Acupoint Pressing
Postoperative Pain in Fracture
Clinical Study
Meta-Analysis
