摘要
目的 系统评价穴位按摩联合乳果糖对便秘的有效性和安全性。方法 检索PubMed、Web of Science、Cochrane Library、Embase、中国知网、中国生物医学文献服务系统、维普网及万方数据知识服务平台关于穴位按摩联合乳果糖对便秘影响的随机对照试验。检索时限为建库至2024年7月,采用RevMan5.3和Stata15.1软件进行Meta分析。结果 共纳入8项随机对照试验,包括675例研究对象。Meta分析结果显示穴位按摩联合乳果糖组的总有效率、腹胀评分和便秘生活质量评分优于对照组,且复发率低于对照组。两组患者的不良反应比较差异无统计学意义(P>0.05)。结论 穴位按摩联合乳果糖可有效提高便秘患者的治疗有效率和生活质量,且安全性较高。但受限于现有研究的数量和质量,未来仍需更多长期随访的高质量研究进一步验证。
Objective To systematically assess the efficacy and safety of combining acupoint massage with lactulose for constipation treatment.Methods Randomized controlled trials on the effects of acupressure combined with lactulose on constipation were searched in PubMed,Web of Science,Cochrane Library,Embase,China National Knowledge Infrastructure,SinoMed,VIP and Wanfang Data Knowledge Service Platform.The search timeframe was from the establishment of the database to July 2024,and Meta-analysis was performed using RevMan5.3 and Stata15.1 software.Results A total of 8 randomized controlled trials including 675 study participants were included.Meta-analysis showed that the acupoint massage combined with lactulose group was superior to control group in terms of total effective rate,abdominal distension score,and constipation quality of life score.Furthermore,its recurrence rate was lower than that of control group.Both groups showed no statistically significant difference in adverse reactions(P>0.05).Conclusion Acupressure combined with lactulose can effectively improve the efficiency and quality of life in the treatment of constipation,and can be safe.Due to the limitation of the quantity and quality of the included literature,more high-quality studies with long-term follow-up are still needed to supplement and validate the above conclusions in the future.
作者
李云川
欧洋
宋美颖
方萍
李洪杰
马维莎
钱凤娥
李晓倩
LI Yunchuan;OU Yang;SONG Meiying;FANG Ping;LI Hongjie;MA Weisha;QIAN Feng’e;LI Xiaoqian(School of Nursing,Yunnan University of Chinese Medicine,Kunming 650500,Yunnan,China;School of Nursing and Welfare,Changchun Humanities and Sciences College,Changchun 130117,Jilin,China;Department of Psychiatry,Traditional Chinese Medicine Hospital of Chuxiong Yi Autonomous Prefecture,Chuxiong 675000,Yunnan,China;Disciplinary Inspection Committee,the People’s Hospital of Chuxiong Yi Autonomous Prefecture,Chuxiong 675000,Yunnan,China)
出处
《中国现代医生》
2025年第24期6-11,43,共7页
China Modern Doctor
基金
云南省科技厅科技计划项目(202301AZ070001-052)。
关键词
便秘
穴位按摩
乳果糖
推拿
中医护理
Constipation
Acupoint massage
Lactulose
Tuina therapy
Traditional Chinese medicine nursing
