Tian Hefeng, Qi Haiou
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
J Pain Res. 2024 Apr 24;17:1555-1561. doi: 10.2147/JPR.S453767. eCollection 2024.
Shoulder pain is one of the most common symptoms after laparoscopic surgery, which seriously affects people's health and quality of life. Many clinical studies have shown that noninvasive physiotherapy is the most beneficial treatment for patients, but the best approach for various noninvasive physiotherapy is unclear. The purpose of this study protocol is to compare the effectiveness of different noninvasive physiotherapy in relieving postlaparoscopic shoulder pain (PLSP).
We will search ten electronic databases including PubMed, Web of Science, Medline, Scopus, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), CNKI, WanFang Data and VIP databases from their inception to November 2023. We will select randomized controlled trials (RCTs) to evaluate the effectiveness of noninvasive physiotherapy on PLSP. Our primary outcome will be to measure the intensity of shoulder pain at 24 and 48 hours after the end of the noninvasive intervention in the included study. Secondary outcomes include incidence of shoulder pain at 24 and 48 hours, postoperative nausea / vomiting and incidence of other complications after noninvasive intervention. Then, standard network meta-analysis will be conducted using Review Manager 5.4 and STATA 18.
Our systematic review and network meta-analysis will identify the best noninvasive physiotherapy for PLSP patients.
This systematic review will address the existing knowledge gap regarding best practice for relieving PLSP with noninvasive physiotherapy. The results of this network meta-analysis will help medical staff and patients choose the best method to relieve the PLSP. Furthermore, we hope that the results of this study will provide evidence-based for the improvement of guidelines and facilitate the decision sharing process.
PROSPERO CRD42023481829.
肩痛是腹腔镜手术后最常见的症状之一，严重影响人们的健康和生活质量。许多临床研究表明，无创物理治疗对患者最为有益，但各种无创物理治疗的最佳方法尚不清楚。本研究方案的目的是比较不同无创物理治疗缓解腹腔镜术后肩痛（PLSP）的效果。
我们将检索十个电子数据库，包括PubMed、Web of Science、Medline、Scopus、CINAHL、EMBASE、Cochrane对照试验中心注册库（CENTRAL）、中国知网、万方数据和维普数据库，检索时间从建库至2023年11月。我们将选择随机对照试验（RCT）来评估无创物理治疗对PLSP的效果。我们的主要结局将是在纳入研究的无创干预结束后24小时和48小时测量肩痛强度。次要结局包括24小时和48小时时肩痛的发生率、术后恶心/呕吐以及无创干预后其他并发症的发生率。然后，将使用Review Manager 5.4和STATA 18进行标准网络荟萃分析。
我们的系统评价和网络荟萃分析将确定针对PLSP患者的最佳无创物理治疗方法。
本系统评价将解决无创物理治疗缓解PLSP最佳实践方面现有的知识空白。该网络荟萃分析的结果将有助于医务人员和患者选择缓解PLSP的最佳方法。此外，我们希望本研究结果能为指南的改进提供循证依据，并促进决策共享过程。
PROSPERO CRD42023481829。
