■这篇综述评估了反射疗法对妊娠症状的影响。
■PubMed,Embase,Springer,WebofScience,Cochrane图书馆,从每个预定义数据库的开始日期到5月31日,搜索以前系统评价的参考列表以查找合格的随机对照试验(RCT),2023年。数据被提取,和方法学质量通过修订的Cochrane偏倚风险工具对随机试验(RoB2)进行评估。使用合并效应大小(Hedges\'g)和95%置信区间(CI)评估治疗功效。使用RevMan5.4管理器进行荟萃分析,发表偏倚通过Begg检验进行评估。
■本次审查共包括13项RCT,11人中有高偏倚风险,2人中有低偏倚风险,报道了反射疗法对下背部和/或骨盆疼痛(LBPP)的影响,分娩疼痛,劳动时间,焦虑,疲劳,睡眠质量,便秘症状,怀孕时脚踝和足部水肿。分娩疼痛中反射疗法的效应大小(Hedges\'g),劳动时间,焦虑,疲劳,睡眠质量有统计学意义,荟萃分析也证实了这一点,除了由于研究不足而导致的疲劳和睡眠质量。
■反射疗法可能对分娩疼痛有效且安全,劳动时间,怀孕时的焦虑,而LBPP中反射疗法的证据,疲劳,睡眠质量,便秘症状,孕期足踝部水肿不足。基于低到高质量的纳入研究,目前还没有强有力的支持性证据。应进行严格的设计和大规模的临床试验,以提供更高的质量,可靠的证据。
UNASSIGNED: This review assessed the effects of
reflexology on symptoms in pregnancy.
UNASSIGNED: PubMed, Embase, Springer, Web of Science, the Cochrane Library, and reference lists of previous systematic reviews were searched for the eligible randomized controlled trials (RCT) from the inception date of each predefined database up to May 31st, 2023. Data were extracted, and methodological quality was evaluated by the Revised Cochrane risk-of-bias tool for randomized trials (RoB 2). The efficacy of treatment was assessed using pooled effect sizes (Hedges\' g) and 95% confidence intervals (CI). Meta-analysis was performed using the RevMan 5.4 manager, and publication bias was evaluated by Begg\'s test.
UNASSIGNED: The included a total of 13 RCTs in this review, of eleven was high risk of bias and two were low, reported the effects of
reflexology on low back and/or pelvic pain (LBPP), labor pain, duration of labor, anxiety, fatigue, sleep quality, constipation symptoms, and ankle and foot edema in pregnancy. The effect sizes (Hedges\' g) for
reflexology in labor pain, duration of labor, anxiety, fatigue, and sleep quality showed statistical significance, which the meta-analysis also confirmed except for fatigue and sleep quality due to insufficient studies.
UNASSIGNED: Reflexology is probably effective and safe for labor pain, duration of labor, and anxiety in pregnancy, while the evidences for
reflexology in LBPP, fatigue, sleep quality, constipation symptoms, and ankle and foot edema during pregnancy were insufficient. Based on the low to high quality of included studies, strong supportive evidence is not yet available. Rigorous-design and large-scale clinical trials should be conducted to provide higher-quality, reliable evidence.