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耳穴贴压法治疗妊娠恶阻临床疗效的Meta分析

A Meta analysis on effect of auricular point sticking and pressing therapy in the treatment of hyperemesis gravidarum
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摘要 目的评价耳穴贴压法治疗妊娠恶阻的临床效果。方法通过计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang Database)、PubMed及Cochrane library,收集耳穴贴压法治疗妊娠恶阻的随机对照试验,按照Jadad量表中随机隐藏的质量标准来评价所纳入研究的质量。采用Rev Man 5.3软件进行Meta分析。结果共纳入5篇研究,包括359例妊娠恶阻患者。Meta分析结果显示:①耳穴贴压组在治愈率上反应的疗效优于基础治疗组[MD=2.42,95%CI(2.14,5.45),Z=5.16,P<0.00001]。②耳穴贴压组在总有效率上反应的疗效优于基础治疗组[MD=5.01,95%CI(2.495,-10.07),Z=4.52,P<0.00001]。结论耳穴贴压法治疗妊娠恶阻优于单纯基础治疗,但耳穴贴压法的起效机制尚未明确,需有待研究。 Objective To evaluate the clinical effect of auricular point sticking and pressing therapy in the treatment of hyperemesis gravidarum.Methods Use of computer to search Co⁃chrane,PubMed,China Knowledge Network Full Text Database(CNKI),VIP Database and Wanfang Database,to collect Randomized Controlled Trials(RCTs)about auricular point stick⁃ing and pressing therapy in the treatment of hyperemesis gravidarum were collected,and the quali⁃ty of the included studies was evaluated according to the randomly hidden quality standard in Jadad scale.Meta analysis was performed by Rev man 5.3 software.Results Five studies were included,including 359 patients with hyperemesis gravidarum.The results of meta-analysis showed that:①The curative effect rate of auricular point sticking and pressing therapy was supe⁃rior to the basic treatment group[MD=2.42,95%CI(2.14,5.45),z=5.16,P<0.00001].②The total effective rate of auricular point sticking and pressing therapy group was superior to the basic treatment group[MD=5.01,95%CI(2.495,-10.07),z=4.52,P<0.00001].Conclusion Auricular point sticking and pressing therapy is better than basic therapy in the treat⁃ment of hyperemesis gravidarum.However,the mechanism of auricular plaster therapy is not clear and needs to be studied.
作者 田恬 谢薇 邓云燕 李忠琴 张杨 赵苏 TIAN Tian;XIE Wei;DENG Yunyan;LI zhongqing;ZHANG yang;ZHAO Su(Department of Obstetrics Healthy Pregnancy Research Center,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550001;Department of Nursing,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550001)
出处 《中西医结合护理》 2022年第6期8-12,共5页 Chinese Journal of Integrative Nursing
关键词 耳穴贴压 耳穴埋豆 耳穴埋籽 妊娠恶阻 META分析 auricular acupoint sticking and pressing auricular acupoint bean embedding auricular acupoint seed embedding hyperemesis gravidarum Meta analysis
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