摘要
目的系统评价推拿对髋关节置换术(HA)患者术后转归的影响。方法计算机检索中国知网、维普、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、the Cochrane Library、Web of Science数据库(检索时间为建库至2023年7月),以获取关于推拿对HA患者术后转归影响的随机对照试验(RCT)。使用RevMan5.3软件进行Meta分析。结果共纳入12篇文献,累计1196例患者。结果表明,试验组的深静脉血栓(DVT)发生率低于对照组[比值比(OR)=0.21,95%CI(0.12,0.39),P<0.00001];试验组的Harris功能评分高于对照组[均数差(MD)=9.08,95%CI(6.45,11.72),P<0.00001];试验组的视觉模拟评分法(VAS)评分低于对照组[MD=-0.98,95%CI(-1.40,-0.55),P<0.00001];试验组的护理满意度高于对照组[OR=4.31,95%CI(1.52,12.24),P=0.006]。结论推拿能有效降低HA术后患者的DVT发生率,改善髋关节功能,减轻术后疼痛,提高护理满意度。
Objective To systematically evaluate the effect of Tuina on postoperative outcomes in patients undergoing hip arthroplasty(HA).Methods CNKI,VIP,Wanfang,Chinese Biology Medicine(CBM),Embase,PubMed,the Cochrane Library and Web of Science databases(retrieval time was from the establishment of the database to July 2023)were searched to obtain randomized controlled trials(RCT)of the effect of Tuina on postoperative outcomes in patients undergoing HA.Meta-analysis was performed using RevMan5.3 software.Results A total of 12 articles were included,involving 1196 patients.The results showed that the incidence of deep venous thrombosis(DVT)in the experimental group was lower than that in the control group[odd ratio(OR)=0.21,95%CI(0.12,0.39),P<0.00001];the Harris function score of the experimental group was higher than that of the control group[mean difference(MD)=9.08,95%CI(6.45,11.72),P<0.00001];the Visual Analogue Scale(VAS)score of the experimental group was lower than that of the control group[MD=-0.98,95%CI(-1.40,-0.55),P<0.00001];the nursing satisfaction of the experimental group was higher than that of the control group[OR=4.31,95%CI(1.52,12.24),P=0.006].Conclusion Tuina can effectively reduce the incidence of DVT in patients after HA,improve hip function,reduce postoperative pain,and improve nursing satisfaction.
作者
李贵香
吕慧
LI Guixiang;LYU Hui(Fujian University of Traditional Chinese Medicine,Fuzhou 350122;Guangxi Health Science College,Nanning 530222,China)
出处
《临床医学研究与实践》
2024年第13期35-39,共5页
Clinical Research and Practice
