Wang Qiu-Shuang, Liu Ya, Zou Xiang-Ni, Ma Yan-Ling, Liu Gen-Li
The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Heilongjiang University of Chinese Medicine, Harbin, China.
Evid Based Complement Alternat Med. 2020 Jun 11;2020:8934751. doi: 10.1155/2020/8934751. eCollection 2020.
It is essential to determine a safe and effective method for treating constipation after stroke. Massage has been widely used in recent years. However, meta-analysis data on the efficacy of massage for the treatment of constipation experienced after stroke are almost nonexistent.
This review aimed to examine the effectiveness of using massage therapy to treat constipation in patients who suffered a stroke event.
This systematic review adhered to the reporting guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Electronic databases, including Cochrane Library, PubMed, EMBASE, Web of Science, China Biology Medicine, Wan Fang Data, VIP Database for Chinese Technical Periodicals, and National Knowledge Infrastructure, were searched for relevant studies on the efficacy of massage for the treatment of poststroke constipation. Rev-Man 5.3 software was used to analyze the study data.
A total of 11 randomized controlled trials with 1045 patients were included. A statistically significant difference in the total effective rates was found between the massage and control groups (OR = 4.96; 95% confidence interval (CI): 2.81, 8.76; < 0.001). Compared with the control groups, the massage group had markedly reduced incidences of constipation (OR = 0.34; 95% CI: 0.25, 0.47; < 0.001) and of four symptoms of discomfort ( < 0.001). The frequency of defecation on day two and day three in the massage group was significantly higher than that in the control group ( < 0.001).
Our results strongly suggest that massage can effectively reduce the incidence and severity of constipation after stroke. However, large, multicenter, long-term, and high-quality randomized controlled trials need to be conducted to establish a definitive conclusion.
确定一种安全有效的中风后便秘治疗方法至关重要。近年来，按摩已被广泛应用。然而，关于按摩治疗中风后便秘疗效的荟萃分析数据几乎不存在。
本综述旨在探讨按摩疗法治疗中风患者便秘的有效性。
本系统综述遵循系统评价和荟萃分析的首选报告项目的报告指南。检索电子数据库，包括Cochrane图书馆、PubMed、EMBASE、科学网、中国生物医学数据库、万方数据、中文科技期刊数据库和知网，以查找关于按摩治疗中风后便秘疗效的相关研究。使用Rev-Man 5.3软件分析研究数据。
共纳入11项随机对照试验，涉及1045例患者。按摩组与对照组的总有效率存在统计学显著差异（OR = 4.96；95%置信区间（CI）：2.81，8.76；P < 0.001）。与对照组相比，按摩组便秘发生率（OR = 0.34；95% CI：0.25，0.47；P < 0.001）及四种不适症状发生率显著降低（P < 0.001）。按摩组第二天和第三天的排便频率显著高于对照组（P < 0.001）。
我们的结果强烈表明，按摩可有效降低中风后便秘的发生率和严重程度。然而，需要开展大规模、多中心、长期和高质量的随机对照试验以得出确切结论。
