Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Student Research Center, School of Nursing, Kerman University of Medical Sciences, Kerman, Iran.
Complement Ther Med. 2020 Nov;54:102553. doi: 10.1016/j.ctim.2020.102553. Epub 2020 Sep 12.
abdominal massage with regular and rhythmic movements has been used to treat some symptoms of diseases.
to review data collected from randomized controlled trials regarding the effect of abdominal massage (AM) on gastrointestinal functions (GFs).
we conducted a systematic review of articles accessible through PubMed, Scopus, Science Direct, Google Scholar, and Web of Science. All eligible English RCT- published articles related to the effect of AM on GFs were included in the study from the time of their acceptance until June 2019.
ten studies with 464 patients met the inclusion criteria. Three studies reported that AM alleviated constipation symptoms in patients with multiple sclerosis, cancer, and elderly adults. In three studies, AM increased bowel movements in people with constipation and patients undergoing skeletal traction. The results of three studies conducted on intensive care patients showed that AM improved GFs, and decreased abdominal circumference and distension. Two studies showed the effectiveness of AM in reducing the gastric residual volume. However, one study indicated no significant difference between the intervention and control groups. The results of two studies showed that AM did not affect laxative intake, nausea or vomiting, frequency of defecation, and food intake. Furthermore, AM did not decrease ventilator-associated pneumonia in patients undergoing mechanical ventilation. The studies reported no adverse effects of AM.
there was promising evidence for the effect of AM on GFs. However, further studies are needed to measure the unknown dimensions of AM in patients.
腹部按摩采用有规律、有节奏的运动方式，用于治疗某些疾病的症状。
系统评价腹部按摩（AM）对胃肠功能（GFs）影响的随机对照试验（RCT）数据。
检索 PubMed、Scopus、Science Direct、Google Scholar 和 Web of Science 中可获取的文章，对所有相关英文 RCT 研究进行评估，纳入 AM 对 GFs 影响的研究。研究时间为自文章发表至 2019 年 6 月。
10 项研究（464 名患者）符合纳入标准。3 项研究表明 AM 可缓解多发性硬化症、癌症和老年人的便秘症状。3 项研究表明 AM 可增加便秘患者和接受骨骼牵引患者的排便次数。3 项对重症监护患者进行的研究结果显示 AM 可改善 GFs，减少腹部周长和腹胀。2 项研究表明 AM 可减少胃残余量。但有 1 项研究表明干预组和对照组之间无显著差异。2 项研究表明 AM 对泻药摄入、恶心或呕吐、排便频率和食物摄入无影响。此外，AM 并未降低机械通气患者呼吸机相关性肺炎的发生率。研究未报告 AM 的不良反应。
AM 对 GFs 有一定影响，但仍需进一步研究以评估 AM 对患者未知维度的影响。
