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Efficacy of electroacupuncture on the recovery of gastrointestinal function after laparoscopic cholecystectomy: a systematic review

电针促进腹腔镜胆囊切除术后胃肠功能恢复有效性的系统评价

  • Systematic Review
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To evaluate the efficacy of electroacupuncture (EA) in enhancing the recovery of gastrointestinal function after laparoscopic cholecystectomy (LC).

Methods

Randomized controlled trials (RCTs) of EA treatment in the postoperative period of patients undergoing LC were searched. Studies were obtained from Excerpta Medica Database (EMBASE), PubMed, Cochrane Library, Wanfang Academic Journal Full-text Database (Wanfang), China National Knowledge Infrastructure (CNKI), China Biology Medicine Disc (CBM), and Chongqing VIP Database (CQVIP) from inception to December 10th, 2022. RevMan 5.4.1 was used to perform the meta-analysis. The Cochrane tool was used to assess the risk of bias. Mean difference (MD) and confidence interval (CI) were used for statistical descriptions.

Results

A total of 7 studies were included in the meta-analysis. The meta-analysis found that the EA group had a shorter time to the first flatus [P<0.001, MD=−5.32, 95%CI (−6.42, −4.21)], bowel movement recovery [P<0.001, MD=−6.22, 95%CI (−8.11, −4.34)], and the first defecation (P<0.001, MD=−11.08, 95% CI (−15.78, −6.39)] than the control group.

Conclusion

EA treatments can promote the recovery of gastrointestinal function after LC.

摘要

目的

评价电针(EA)促进腹腔镜胆囊切除术(LC)后患者胃肠功能恢复的疗效。

方法

检索电针治疗LC后患者的随机对照试验。检索数据库EMBASE、PubMed、Cochrane图书馆、万方学术期刊全文数据库(Wanfang)、中国知网(CNKI)、中国生物医学文献数据库(CBM)和重庆维普数据库(CQVIP)自创建至2022年12月10日的所有文献。采用RevMan 5.4.1进行meta分析。采用Cochrane工具评估偏倚风险。使用均数差(MD)和可信区间(CI)进行统计描述。

结果

共纳入7项研究。Meta分析发现相较于对照组, 电针组首次排气时间[P<0.001, MD=−5.32, 95%CI (−6.42, −4.21)], 肠蠕动恢复时间[P<0.001, MD=−6.22, 95%CI (−8.11, −4.34)]和首次排便时间[P<0.001, MD=−11.08, 95%CI (−15.78, −6.39)]都更短。

结论

电针治疗可促进LC后患者胃肠功能的恢复。

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Acknowledgments

This work was supported by the Project of National Natural Science Foundation of China (国家自然科学基金项目, No. 82004444); Pudong Traditional Chinese Medicine Training Plan of Pudong New Area Health System (浦东新区卫生系统浦东名中医培养计划, No. PWRzm2020-05); Scientific Research Projects of Shanghai Municipal Health Commission (上海市卫生健康委员会科研项目, No. 2021LPTD-004, No. 20204Y0472); Scientific Research Project of Shanghai Science and Technology Commission (上海市科学技术委员会科研计划项目, No. 20Y21902900); Clinical Technology Innovation Project of Municipal Hospital (市级医院临床科技创新项目, No. SHDC22021210). The registration number of this study in the International Prospective Register of Systematic Reviews (PROSPERO) is CRD42022321525.

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Authors and Affiliations

  1. Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China

    Wa Cai  (蔡娲), He Liu  (刘禾), Kun Zhang  (张堃), Yuan Gao  (高垣) & Weidong Shen  (沈卫东)

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  1. Wa Cai  (蔡娲)
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  2. He Liu  (刘禾)
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  3. Kun Zhang  (张堃)
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  4. Yuan Gao  (高垣)
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  5. Weidong Shen  (沈卫东)
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Contributions

The study was designed by CAI Wa and SHEN Weidong. CAI Wa, LIU He, ZHANG Kun, GAO Yuan, and SHEN Weidong performed the study. CAI Wa analyzed the data and drafted the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Weidong Shen  (沈卫东).

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The authors declare that there is no potential conflict of interest in this article.

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First Author: CAI Wa, M.D., attending physician

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Cai, W., Liu, H., Zhang, K. et al. Efficacy of electroacupuncture on the recovery of gastrointestinal function after laparoscopic cholecystectomy: a systematic review. J. Acupunct. Tuina. Sci. 22, 73–80 (2024). https://doi.org/10.1007/s11726-023-1417-x

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  • DOI: https://doi.org/10.1007/s11726-023-1417-x

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