Cargando…
The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis
BACKGROUND: This systematic review and meta-analysis aimed to evaluate the efficacy of transcutaneous electronic acupoint stimulation (TEAS) for improving postoperative recovery after gynecologic surgery. METHODS: We performed a thorough search of 6 databases until March 2023, identifying 12 randomi...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476788/ https://www.ncbi.nlm.nih.gov/pubmed/37657060 http://dx.doi.org/10.1097/MD.0000000000034834 |
_version_ | 1785101006368931840 |
---|---|
author | Ge, Yueping Zheng, Jianhong |
author_facet | Ge, Yueping Zheng, Jianhong |
author_sort | Ge, Yueping |
collection | PubMed |
description | BACKGROUND: This systematic review and meta-analysis aimed to evaluate the efficacy of transcutaneous electronic acupoint stimulation (TEAS) for improving postoperative recovery after gynecologic surgery. METHODS: We performed a thorough search of 6 databases until March 2023, identifying 12 randomized controlled trials that met our predefined inclusion criteria and encompassed a total of 1510 patients. For continuous outcomes, we calculated the weighted mean difference (WMD), and for binomial outcomes, we used the risk ratio (RR). We evaluated heterogeneity among the included studies using Cochran I(2) and Q statistics, utilizing a random-effects model when the I(2) value exceeded 50%. To assess publication bias, we employed Egger test. RESULTS: Our analysis found that TEAS significantly reduced the risk of postoperative nausea (RR: 0.60, 95% CI: 0.43–0.83, P = .002) and postoperative vomiting (RR: 0.54, 95% CI: 0.43–0.67, P < .001), visual analogue scale (WMD: −0.47, 95% CI: −0.76 to −0.17, P = .002), as well as shortened the time to first bowel movement (WMD: −18.43, 95% CI: −20.87 to −15.99, P < .001) and time to first flatus (WMD: −8.98, 95% CI: −12.46 to −5.51, P < .001) compared to the conventional group. CONCLUSIONS: Our findings suggested that TEAS may improve postoperative recovery following gynecologic surgery. However, to confirm these results, larger randomized controlled trials encompassing a more diverse range of patient populations are urgently required. |
format | Online Article Text |
id | pubmed-10476788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104767882023-09-05 The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis Ge, Yueping Zheng, Jianhong Medicine (Baltimore) 5600 BACKGROUND: This systematic review and meta-analysis aimed to evaluate the efficacy of transcutaneous electronic acupoint stimulation (TEAS) for improving postoperative recovery after gynecologic surgery. METHODS: We performed a thorough search of 6 databases until March 2023, identifying 12 randomized controlled trials that met our predefined inclusion criteria and encompassed a total of 1510 patients. For continuous outcomes, we calculated the weighted mean difference (WMD), and for binomial outcomes, we used the risk ratio (RR). We evaluated heterogeneity among the included studies using Cochran I(2) and Q statistics, utilizing a random-effects model when the I(2) value exceeded 50%. To assess publication bias, we employed Egger test. RESULTS: Our analysis found that TEAS significantly reduced the risk of postoperative nausea (RR: 0.60, 95% CI: 0.43–0.83, P = .002) and postoperative vomiting (RR: 0.54, 95% CI: 0.43–0.67, P < .001), visual analogue scale (WMD: −0.47, 95% CI: −0.76 to −0.17, P = .002), as well as shortened the time to first bowel movement (WMD: −18.43, 95% CI: −20.87 to −15.99, P < .001) and time to first flatus (WMD: −8.98, 95% CI: −12.46 to −5.51, P < .001) compared to the conventional group. CONCLUSIONS: Our findings suggested that TEAS may improve postoperative recovery following gynecologic surgery. However, to confirm these results, larger randomized controlled trials encompassing a more diverse range of patient populations are urgently required. Lippincott Williams & Wilkins 2023-09-01 /pmc/articles/PMC10476788/ /pubmed/37657060 http://dx.doi.org/10.1097/MD.0000000000034834 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 5600 Ge, Yueping Zheng, Jianhong The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title | The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title_full | The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title_fullStr | The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title_full_unstemmed | The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title_short | The efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: A systematic review and meta-analysis |
title_sort | efficacy of transcutaneous electronic acupoint stimulation for improving postoperative recovery after gynecologic surgery: a systematic review and meta-analysis |
topic | 5600 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476788/ https://www.ncbi.nlm.nih.gov/pubmed/37657060 http://dx.doi.org/10.1097/MD.0000000000034834 |
work_keys_str_mv | AT geyueping theefficacyoftranscutaneouselectronicacupointstimulationforimprovingpostoperativerecoveryaftergynecologicsurgeryasystematicreviewandmetaanalysis AT zhengjianhong theefficacyoftranscutaneouselectronicacupointstimulationforimprovingpostoperativerecoveryaftergynecologicsurgeryasystematicreviewandmetaanalysis AT geyueping efficacyoftranscutaneouselectronicacupointstimulationforimprovingpostoperativerecoveryaftergynecologicsurgeryasystematicreviewandmetaanalysis AT zhengjianhong efficacyoftranscutaneouselectronicacupointstimulationforimprovingpostoperativerecoveryaftergynecologicsurgeryasystematicreviewandmetaanalysis |