Objective: To identify the effectiveness of auricular acupressure(AA) in patients with acute postoperative pain after surgery by systematic review. Methods: A search of randomized controlled trials was conducted in 5 ...Objective: To identify the effectiveness of auricular acupressure(AA) in patients with acute postoperative pain after surgery by systematic review. Methods: A search of randomized controlled trials was conducted in 5 English medical electronic databases and 4 Chinese databases. Two reviewers independently retrieved related studies, assessed the methodological quality, and extracted data with a standardized data form. Meta-analyses were performed using all time-points meta-analysis. Results: A total of 26 studies with 1,682 participants were included. Results showed that compared with conventional therapy, AA significantly improved the total effective rate [risk ratio=1.25, 95% confidence interval(CI), 1.13 to 1.37, P<0.0001; heterogeneity: P<0.0001, I^2=85%]. In the subgroup analysis, the results changed in different follow-up time and surgery categories. The pain relief in the AA group might be the most significant at 72 h after surgery(mean difference=–0.85, 95% CI, –1.20 to –0.50, P<0.0001) and in abdominal surgery(mean difference=–1.15, 95% CI, –1.41 to –0.90, P<0.0001). Sensitivity analysis demonstrated that the results of this meta-analysis were stable. No serious adverse effects were recorded. Conclusions: It was recommended to provide AA to patients with acute postoperative pain. However, a more accurate estimate of the effect requires further rigorously designed large-scale and high-quality RCTs for improving acute postoperative pain after surgery.展开更多
目的梳理急性术后疼痛近15年来的研究现状和发展趋势,为该领域后续研究提供参考依据。方法计算机检索Web of Science核心合集,使用科学引文索引扩展版(Science Citation Index Expanded,SCIE)进行数据提取,检索时间为2007年1月至2021年1...目的梳理急性术后疼痛近15年来的研究现状和发展趋势,为该领域后续研究提供参考依据。方法计算机检索Web of Science核心合集,使用科学引文索引扩展版(Science Citation Index Expanded,SCIE)进行数据提取,检索时间为2007年1月至2021年12月,纳入文献类型为论著和综述。对发文量、文献期刊和学科分布、国家、机构和作者、总引用量前10位的论文、关键词和突现词进行分析。结果共纳入急性术后疼痛相关论文5475篇,美国发文量居首位(1814篇,33.13%),中国发文量居第2位(508篇,9.28%);发文量最多的机构为欧洲研究型大学联盟(343篇,6.26%);发文量居首位的作者为英国牛津大学的Moore(66篇,1.21%);急性术后疼痛相关文献涉及的主要学科为麻醉学(1337篇,24.42%)、外科学(1195篇,21.83%)、神经科学(891篇,16.27%)等。急性术后疼痛相关文献刊发数量居前10位的期刊2021年的影响因子平均为5.701,刊发数量占此研究检索结果的16.24%(889/5475)。急性术后疼痛研究的关键词主要集中于“预防”“慢性术后疼痛”“快速康复”“神经阻滞”等。结论近15年来,急性术后疼痛相关研究处于快速发展阶段,中国在发文数量上取得长足进步,但发文质量与西方国家仍存差距,应重点围绕“神经阻滞”“快速康复”“预防”“慢性术后疼痛”等开展深入研究。展开更多
文摘Objective: To identify the effectiveness of auricular acupressure(AA) in patients with acute postoperative pain after surgery by systematic review. Methods: A search of randomized controlled trials was conducted in 5 English medical electronic databases and 4 Chinese databases. Two reviewers independently retrieved related studies, assessed the methodological quality, and extracted data with a standardized data form. Meta-analyses were performed using all time-points meta-analysis. Results: A total of 26 studies with 1,682 participants were included. Results showed that compared with conventional therapy, AA significantly improved the total effective rate [risk ratio=1.25, 95% confidence interval(CI), 1.13 to 1.37, P<0.0001; heterogeneity: P<0.0001, I^2=85%]. In the subgroup analysis, the results changed in different follow-up time and surgery categories. The pain relief in the AA group might be the most significant at 72 h after surgery(mean difference=–0.85, 95% CI, –1.20 to –0.50, P<0.0001) and in abdominal surgery(mean difference=–1.15, 95% CI, –1.41 to –0.90, P<0.0001). Sensitivity analysis demonstrated that the results of this meta-analysis were stable. No serious adverse effects were recorded. Conclusions: It was recommended to provide AA to patients with acute postoperative pain. However, a more accurate estimate of the effect requires further rigorously designed large-scale and high-quality RCTs for improving acute postoperative pain after surgery.
文摘目的梳理急性术后疼痛近15年来的研究现状和发展趋势,为该领域后续研究提供参考依据。方法计算机检索Web of Science核心合集,使用科学引文索引扩展版(Science Citation Index Expanded,SCIE)进行数据提取,检索时间为2007年1月至2021年12月,纳入文献类型为论著和综述。对发文量、文献期刊和学科分布、国家、机构和作者、总引用量前10位的论文、关键词和突现词进行分析。结果共纳入急性术后疼痛相关论文5475篇,美国发文量居首位(1814篇,33.13%),中国发文量居第2位(508篇,9.28%);发文量最多的机构为欧洲研究型大学联盟(343篇,6.26%);发文量居首位的作者为英国牛津大学的Moore(66篇,1.21%);急性术后疼痛相关文献涉及的主要学科为麻醉学(1337篇,24.42%)、外科学(1195篇,21.83%)、神经科学(891篇,16.27%)等。急性术后疼痛相关文献刊发数量居前10位的期刊2021年的影响因子平均为5.701,刊发数量占此研究检索结果的16.24%(889/5475)。急性术后疼痛研究的关键词主要集中于“预防”“慢性术后疼痛”“快速康复”“神经阻滞”等。结论近15年来,急性术后疼痛相关研究处于快速发展阶段,中国在发文数量上取得长足进步,但发文质量与西方国家仍存差距,应重点围绕“神经阻滞”“快速康复”“预防”“慢性术后疼痛”等开展深入研究。
