التفاصيل البيبلوغرافية
| العنوان: |
Effect of Acupoint Stimulation on Improving Gastrointestinal Motility in Patients After Gastrectomy: A Systematic Review and Meta-Analysis. |
| المؤلفون: |
Cheng YL; Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan, Republic of China.; Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan, Republic of China., Hsu TF; Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan, Republic of China.; Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China., Kung YY; Institute of Traditional Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taiwan, Republic of China.; Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China., Chen YC; Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan, Republic of China. |
| المصدر: |
Journal of integrative and complementary medicine [J Integr Complement Med] 2023 Nov; Vol. 29 (11), pp. 718-726. Date of Electronic Publication: 2023 Jun 28. |
| نوع المنشور: |
Meta-Analysis; Systematic Review; Journal Article; Review |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9918283075806676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2768-3613 (Electronic) Linking ISSN: 27683605 NLM ISO Abbreviation: J Integr Complement Med Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: [New Rochelle, New York] : Mary Ann Liebert, Inc., [2022]- |
| مواضيع طبية MeSH: |
Acupuncture Points* , Acupuncture Therapy*, Humans ; Flatulence ; Gastrectomy/adverse effects ; Gastrointestinal Motility |
| مستخلص: |
Introduction: Gastrointestinal immobility is experienced by many patients who undergo gastric surgery. This complication delays enteral nutrition, prolongs hospitalization, and causes discomfort. Acupoint stimulation is a popular alternative nonpharmacological treatment for gastrointestinal immobility. This study aimed to explore the effects of acupoint stimulation on gastrointestinal immobility after gastrectomy. Design: Systematic review and meta-analysis. Methods: Databases (PubMed, Cochrane, Joanna Briggs Institute EBP Database, Medline, CINAHL Complete, and Airiti library) were searched from their inception to April 2022 for relevant articles. Articles in Chinese and English were included, without limitations on year, region, or country. The inclusion criteria were studies with participants >18 years of age, postgastric surgery, and hospitalization. In addition, randomized controlled trials (RCTs) were included. Data were analyzed using random effects models, and data heterogeneity was investigated using subgroup analysis. Meta-analysis was performed using Review Manager 5.4 software. Results: We included 785 participants from six studies. Invasive and noninvasive acupoint stimulation reduced the time of gastrointestinal mobility better than usual care. In the control group, the time of first flatus was 43.56 ± 9.57 h to 108 ± 19.2 h, and the time of first defecation was 77.27 ± 22.67 h to 139.2 ± 24 h. In the experimental group, the time of first flatus and defecation was 36.58 ± 10.75 h to 79.97 ± 37.31 h and 70.56 ± 15.36 h to 108.55 ± 10.75 h, respectively. Subgroup analysis showed that invasive acupoint stimulation with acupuncture reduced the time of first flatus and defecation to 15.03 h (95% confidence interval [CI] = -31.06 to 1.01) and 14.12 h (95% CI = -32.78 to 4.54), respectively. Noninvasive acupoint stimulation, including acupressure and transcutaneous electrical acupoint stimulation (TEAS), reduced the time of first flatus and defecation to 12.33 h and (95% CI = -20.59 to -4.06) and 12.20 h (95% CI = -24.92 to 0.52), respectively. Conclusions: Acupoint stimulation improved the gastrointestinal immobility of postgastrectomy. In the included RCT articles, invasive and noninvasive stimulations were effective. However, noninvasive acupoint stimulation, such as with TEAS and acupressure, was more efficient and convenient than invasive stimulation. Overall, health care professionals with adequate training or under the supervision of an acupuncturist can effectively perform acupoint stimulation to improve the quality of postgastrectomy care. They can select commonly used and effective acupoints to enhance gastrointestinal motility. Clinical relevance: Acupoint stimulation, such as acupressure, electrical acupoint stimulation, or acupuncture, can be included in postgastrectomy routine care to improve gastrointestinal motility and reduce abdominal discomfort. |
| فهرسة مساهمة: |
Keywords: acupoint stimulation; acupuncture; gastrectomy; transcutaneous electrical acupoint stimulation |
| تواريخ الأحداث: |
Date Created: 20230628 Date Completed: 20231115 Latest Revision: 20231115 |
| رمز التحديث: |
20240628 |
| DOI: |
10.1089/jicm.2022.0752 |
| PMID: |
37379490 |
| قاعدة البيانات: |
MEDLINE |
