【摘 要】
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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
【机 构】
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School of Nursing, Nanjing University of Traditional Chinese Medicine, Nanjing(210046), China
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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 (Cl),1.13 to 1.37,P＜0.0001;heterogeneity:P＜0.0001,I2=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％ Cl,-1.20 to-0.50,P＜0.0001) and in abdominal surgery (mean difference=-1.15,95％ Cl,-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.Conchusions: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.
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