Transcutaneous electrical acupoint stimulation for preventing postoperative nausea and vomiting after laparoscopic surgery: A meta-analysis.

IF 2.4 3区医学 Q1 NURSING Journal of Nursing Scholarship Pub Date : 2024-11-10 DOI:10.1111/jnu.13033

Lu Yuan, Si-Jie Quan, Xin-Yu Li, Bo-Zhu Chen, Yan-Bing Huang, Hui Zheng

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Abstract

Background: Postoperative nausea and vomiting (PONV) is a common adverse event after general surgery. This study aimed to examine the effectiveness and safety of transcutaneous electrical acupoint stimulation (TEAS) for the prevention of nausea and vomiting after laparoscopic surgery.

Method: The Cochrane Library, Pubmed, Embase, and Web of Science databases were accessed from inception to 23 January 2024. The incidence of PONV was the primary outcome measure. The required information size (RIS) of each outcome was estimated by Trial sequential analysis (TSA). The RoB 2.0 tool was used to assess the risk of bias and GRADE to assess the quality of evidence.

Results: Seventeen RCTs including 3698 participants were included. In comparison to the control group, TEAS reduced the incidence of PONV (13 trials, n = 3310; RR, 0.56; 95% CI, 0.46-0.67; I² = 64%; p < 0.01; RIS = 1100), with the level of evidence graded as low. TEAS reduced the incidence of PON (9 trials, n = 2762; RR, 0.64; 95% CI, 0.52-0.79; I² = 57%, p < 0.01; RIS = 1595), and was also associated with a lower incidence of POV (9 trials, n = 2797; RR, 0.53; 95% CI, 0.45-0.63; I² = 0%, p < 0.01; RIS = 773).

Conclusion: The current meta-analysis and TSA provide reliable evidence that TEAS is an effective and safe method to prevent PONV. It may reduce the workload of nursing professionals, alleviate emotional stress, and decrease exposure risk. Adverse events related to TEAS were mild.

Clinical relevance: Nurses can incorporate TEAS into the rehabilitation nursing of patients experiencing PONV.

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经皮穴位电刺激用于预防腹腔镜手术后恶心和呕吐：荟萃分析。

背景：术后恶心和呕吐（PONV术后恶心和呕吐（PONV）是普外科手术后常见的不良反应。本研究旨在探讨经皮穴位电刺激（TEAS）预防腹腔镜手术后恶心和呕吐的有效性和安全性：方法：访问了从开始到 2024 年 1 月 23 日的 Cochrane Library、Pubmed、Embase 和 Web of Science 数据库。PONV的发生率是衡量研究结果的主要指标。通过试验序列分析（TSA）估算了每项结果所需的信息量（RIS）。使用 RoB 2.0 工具评估偏倚风险，使用 GRADE 评估证据质量：共纳入了 17 项 RCT，包括 3698 名参与者。与对照组相比，TEAS 降低了 PONV 的发生率（13 项试验，n = 3310；RR，0.56；95% CI，0.46-0.67；I2 = 64%；P 2 = 57%，P 2 = 0%，P 结论：TEAS 降低了 PONV 的发生率：当前的荟萃分析和 TSA 提供了可靠的证据，证明 TEAS 是预防 PONV 的有效、安全的方法。它可以减轻护理专业人员的工作量、缓解情绪压力并降低暴露风险。与 TEAS 相关的不良事件较轻：护士可将 TEAS 纳入对 PONV 患者的康复护理中。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.