Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Complement Ther Med. 2020 Mar;49:102326. doi: 10.1016/j.ctim.2020.102326. Epub 2020 Jan 22.
Patients undergoing continuous hemodialysis experience the arteriovenous fistula puncture-related pain approximately 300 times per year. Pain management is important priorities in painful procedures. Therefore, this systematic review and meta-analysis study was conducted to determine the effect of cryotherapy on arteriovenous fistula puncture-related pain in hemodialysis patients.
This systematic review and meta-analysis study was conducted by searching the related article with using the keywords including Cryotherapy, Ice, Punctures, Catheterization, Pain, and Fistula (using AND & OR operators) through Iranian (including SID, and Magiran) and international databases (including Embase, Web of Science, Medline via PubMed, Scopus, and ProQuest). Interventional studies in English or Persian languages were included in the study without time limitation. Finally, after excluding duplicates, screening based on inclusion and exclusion criteria, and quality assessment (based on the JADAD standard checklist), 8 studies entered the systematic review process (Qualitative Synthesis) and 6 studies entered the meta-analysis process (Quantitative Synthesis).
Based on the results of the review, the included studies were conducted between 2008-2017. The total number of participants in all studies obtained through systematic review (8 studies) was 422 with an age of 16 years old and above. The review of studies showed a positive effect of cryotherapy on reducing the arteriovenous fistula puncture-related pain in hemodialysis patients.
Regarding the positive effect of cryotherapy on arteriovenous fistula puncture-related pain, cryotherapy as a low-risk and uncomplicated procedure seems to be effective and useful in reducing pain and ultimately reducing its unpleasant psychological and physical side effects.
接受连续性血液透析的患者每年大约要经历 300 次动静脉瘘穿刺相关疼痛。疼痛管理是疼痛处理的重点。因此，本系统评价和荟萃分析研究旨在确定冷冻疗法对血液透析患者动静脉瘘穿刺相关疼痛的影响。
本系统评价和荟萃分析通过使用关键词（包括冷冻疗法、冰、穿刺、导管插入术、疼痛和瘘管），在伊朗（包括 SID 和 Magiran）和国际数据库（包括 Embase、Web of Science、Medline 通过 PubMed、Scopus 和 ProQuest）中搜索相关文章。纳入研究的语言为英语或波斯语，无时间限制。最后，在排除重复项后，根据纳入和排除标准进行筛选，并根据 Jadad 标准检查表进行质量评估，有 8 项研究进入系统评价过程（定性综合），有 6 项研究进入荟萃分析过程（定量综合）。
根据综述结果，纳入的研究在 2008-2017 年进行。通过系统评价获得的所有研究的参与者总数（8 项研究）为 422 人，年龄在 16 岁及以上。研究综述表明，冷冻疗法对降低血液透析患者动静脉瘘穿刺相关疼痛有积极影响。
鉴于冷冻疗法对动静脉瘘穿刺相关疼痛的积极影响，冷冻疗法作为一种低风险、简单的治疗方法，似乎可以有效减少疼痛，从而减轻其不愉快的心理和生理副作用。
