灸法治疗经尿道前列腺电切术后膀胱痉挛疗效Meta 分析
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R246.9

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广东省中医院院内专项项目(YN2019ML05)


A Meta- Analysis on Curative Effect of Moxibustion for Cystospasm After Transure⁃ thral Resection of Prostate
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    摘要:

    目的:系统评价灸法治疗经尿道前列腺电切术(TURP) 后膀胱痉挛的临床疗效。方法:计算机检索国内外数据库,纳入灸法治疗TURP 术后膀胱痉挛的随机对照试验(RCT),采用RevMan5.3 进行风险质量评估和Meta 分析。结果:共纳入9 项RCTs,644 例患者。Meta 分析结果显示,与对照组常规治疗比较,加用灸法能提高TURP 术后膀胱痉挛的临床疗效[RR=1.21,95%CI (1.06,1.38),P<0.05],减少膀胱痉挛发生率[RR=0.55,95%CI (0.42,0.72),P<0.05],降低VAS 评分[MD=-1.68,95%CI (-1.43,-0.67),P<0.05],明显缩短膀胱持续冲洗时间[MD=-23.99,95%CI (-26.15,-21.85),P<0.05],以及平均住院时间[MD=-1.27,95%CI (-1.68,-0.87),P<0.05]。结论:灸法能有效提高TURP 术后膀胱痉挛的临床疗效,但由于纳入研究数量和质量受限,需要更多高质量的研究证实。

    Abstract:

    Abstract: Objective: To systematically evaluate the clinical effect of moxibustion for cystospasm after transurethral resection of prostate(TURP). Methods: Domestic and foreign databases were searched by computer; a randomized controlled trial(RCT) of moxibustion for cystospasm after TURP was included;quality risk evaluation and meta-analysis were performed by RevMan5.3. Results:A total of 9 RCTs and 644 cases of patients were included. The result of meta-analysis showed that when compared with routine treating in the control group,the additional application of moxibustion can improve the clinical effect on cystospasm after TURP[RR=1.21,95%CI(1.06,1.38),P<0.05],reduce the incidence of cystospasm [RR=0.55, 95%CI(0.42, 0.72), P<0.05], decrease the VAS score [MD=- 1.68, 95%CI(- 1.43, - 0.67), P<0.05], and significantly shorten bladder irrigation duration [MD=- 23.99, 95% CI(- 26.15, - 21.85), P<0.05] and average length of hospital stay[MD=- 1.27, 95%CI(- 1.68, - 0.87), P<0.05]. Conclusion: Moxibustion can effectively improve the clinical effect on cystospasm after TURP. But due to the limited number and quality of included studies,more high-quality studies are needed to confirm it.

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黄钦展,罗美文,翁湘涛,甘澍,古炽明,李源,李思逸,王树声.灸法治疗经尿道前列腺电切术后膀胱痉挛疗效Meta 分析[J].新中医,2021,53(8):125-129

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  • 在线发布日期: 2021-04-29
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