文献类型：期刊文献

中文题名：非药物干预对剖宫产病人术后疼痛影响的Meta分析

英文题名：Effect of non-pharmacological intervention on postoperative pain in patients undergoing cesarean section:a Meta-analysis

作者：栗明超[1];王金霞[1];金泓颖[1];王继红[2]

第一作者：栗明超

机构：[1]甘肃中医药大学,甘肃730000;[2]平顶山学院医学院

第一机构：甘肃中医药大学

年份：2025

卷号：11

期号：14

起止页码：2813

中文期刊名：循证护理

外文期刊名：Chinese Evidence-Based Nursing

语种：中文

中文关键词：非药物干预;剖宫产;护理干预;疼痛;Meta分析;循证护理

外文关键词：non-pharmacological intervention;cesarean section;nursing intervention;pain;Meta-analysis;evidence-based nursing

摘要：目的:通过Meta分析评估非药物干预对剖宫产产妇术后疼痛的有效性和安全性。方法:通过计算机检索PubMed、Web of Science、EMbase、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库。检索时限从建库至2023年6月。由2位研究者独立筛选文献、提取数据并评估纳入文献的偏倚风险,采用Review Manager 5.4和Stata 16.0软件进行Meta分析。结果:共纳入6篇文献。Meta分析结果表明,音乐疗法、四子散热奄包热敷配合腕踝针护理、渐进式肌肉放松训练+芳香疗法+调息疗法、手足按摩、腕踝针、穴位按压干预措施在缓解术后疼痛方面均优于常规护理。四子散热奄包热敷配合腕踝针护理、渐进式肌肉放松训练+芳香疗法+调息疗法、腕踝针在提高病人满意度方面优于常规护理。结论:现有证据表明,非药物干预可有效缓解剖宫产病人术后疼痛,但由于纳入研究数量和质量有限,未来需更多高质量研究进行验证。
Objective:To evaluate the efficacy and safety of non-pharmacological intervention for postoperative pain in parturients undergoing cesarean section through Meta-analysis.Methods:PubMed,Web of Science,EMbase,the Cochrane Library,CNKI,WanFang Database,VIP and CBM were retrieved by computer.The search period was from the establishment of the database to June 2023.The literature was independently screened,data were extracted and the risk of bias of the included literature was evaluated by two researchers.Review Manager 5.4 and Stata 16.0 software were used for Meta-analysis.Results:A total of 6 articles were included.The results of the Meta-analysis showed that intervention measures such as music therapy,heat application with four-piece heat packs combined with wrist and ankle acupuncture nursing,progressive muscle relaxation training+aromatherapy+pranayama therapy,hand and foot massage,wrist and ankle acupuncture,and acupoint pressing were all superior to conventional care in alleviating postoperative pain.The heat application with four-piece heat packs combined with wrist and ankle acupuncture nursing,progressive muscle relaxation training+aromatherapy+pranayana therapy,as well as wrist and ankle acupuncture were superior to conventional care in improving patient satisfaction.Conclusions:The existing evidence indicates that non-pharmacological intervention can effectively relieve postoperative pain in patients undergoing cesarean section.However,due to the limited number and quality of included studies,more high-quality studies are needed for verification in the future.