Effectiveness of Auricular Acupressure for Acute Postoperative Pain after Surgery: A Systematic Review and Meta-Analysis.
10.1007/s11655-019-3063-1
- Author:
Qin ZHONG
1
;
Di WANG
1
;
Ya-Mei BAI
2
,
3
;
Shi-Zheng DU
1
;
Yu-Lei SONG
1
;
Jing ZHU
1
Author Information
1. School of Nursing, Nanjing University of Traditional Chinese Medicine, Nanjing, 210046, China.
2. School of Nursing, Nanjing University of Traditional Chinese Medicine, Nanjing, 210046, China. czbym@
3. com.
- Publication Type:Journal Article
- Keywords:
acute postoperative pain;
auricular acupressure;
meta-analysis;
systematic review
- MeSH:
Acupressure;
methods;
Acute Disease;
Ear;
Humans;
Pain, Postoperative;
therapy;
Publication Bias
- From:
Chinese journal of integrative medicine
2019;25(3):225-232
- CountryChina
- Language:English
-
Abstract:
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 (CI), 1.13 to 1.37, Plt;0.0001; heterogeneity: Plt;0.0001, I=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% CI,-1.20 to-0.50, Plt;0.0001) and in abdominal surgery (mean difference=-1.15, 95% CI,-1.41 to-0.90, Plt;0.0001). Sensitivity analysis demonstrated that the results of this meta-analysis were stable. No serious adverse effects were recorded.
CONCLUSION: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.
