Gu Xinxin, Zhang Lei, Yuan Haiguang, Zhang Min
College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Xianyang, China.
Department of Treatment and Prevention of Disease, The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang, China.
Heliyon. 2023 Jul 7;9(7):e18098. doi: 10.1016/j.heliyon.2023.e18098. eCollection 2023 Jul.
Constipation is a digestive disorder with a high global prevalence, with approximately 20-25% of the population suffering from constipation, and the majority of constipated patients experience functional constipation (FC). Although abdominal massage is an effective intervention, there is a lack of analysis of the efficacy of abdominal massage in the treatment of functional constipation. Objective: To evaluate the clinical efficacy of abdominal massage in the treatment of functional constipation.
A computerized retrieval of randomized controlled trials on abdominal massage for functional constipation was conducted on China National Knowledge Infrastructure (CNKI), Wanfang, VIP Chinese Science and Technology Periodical Database, Chinese BioMedical Literature Database, Cochrane Database, PubMed, Embase, and Web of Science until October 1, 2022. Meta-analysis was performed using RevMan 5.3 software after the initial screening and re-screening of the literature.
A total of 13 papers involving 830 patients were included. The results of the meta-analysis showed that abdominal massage had better efficacy in the treatment of functional constipation. Constipated patients in the treatment group showed greater improvement in the frequency of defecation, difficulty in defecation, stool properties, and PAC-QOL scores than those in the control group. The SMD/MD values and 95% CI of each score were: SMD = 1.05, 95%CI (0.63,1.46); SMD = -1.51, 95%CI (-2.35,-0.68); SMD = 0.95, 95%CI (0.31,1.59); MD = -13.24, 95%CI (-25.83, -0.65).
Abdominal massage can increase the frequency of defecation, reduce the symptoms of difficulty in defecation, improve stool properties, and positively affect the quality of life of patients with constipation. Hence, abdominal massage therapy shows definite therapeutic efficacy for functional constipation, providing a more specific plan for clinical treatment.
便秘是一种在全球范围内普遍存在的消化系统疾病，约20%-25%的人群受便秘困扰，且大多数便秘患者为功能性便秘（FC）。尽管腹部按摩是一种有效的干预措施，但缺乏对腹部按摩治疗功能性便秘疗效的分析。目的：评估腹部按摩治疗功能性便秘的临床疗效。
在中国知网、万方、维普中文科技期刊数据库、中国生物医学文献数据库、考克兰数据库、PubMed、Embase及Web of Science中对截至2022年10月1日关于腹部按摩治疗功能性便秘的随机对照试验进行计算机检索。对文献进行初筛和复筛后，使用RevMan 5.3软件进行Meta分析。
共纳入13篇文献，涉及830例患者。Meta分析结果显示，腹部按摩治疗功能性便秘疗效更佳。治疗组便秘患者在排便频率、排便困难程度、粪便性状及PAC-QOL评分方面的改善程度均大于对照组。各评分的标准化均数差/均数差（SMD/MD）值及95%可信区间（CI）分别为：SMD = 1.05，95%CI（0.63，1.46）；SMD = -1.51，95%CI（-2.35，-0.68）；SMD = 0.95，95%CI（0.31，1.59）；MD = -13.24，95%CI（-25.83，-0.65）。
腹部按摩可增加排便频率，减轻排便困难症状，改善粪便性状，并对便秘患者的生活质量产生积极影响。因此，腹部按摩疗法对功能性便秘具有确切的治疗效果，为临床治疗提供了更具针对性的方案。
