Objective:To systematically review the clinical therapeutic effect of acupuncture on acute gastrointestinal injury(AGI)in critically ill patients.Methods:The randomized control trials of acupuncture for AGI in critically ill patients were retrieved from the databases,from inception to the cutoff date in August,2021,including China National Knowl-edge Infrastructure(CNKI),Wanfang,VIP,China Biology Medicine disc(CBM),PubMed,Science Direct and Cochrane Library.Simultaneously,the accomplished and published RCTs were further searched from American clinical trial registry platform()and Chinese clinical trial registry plat-form().Two researchers extracted the data and performed the quality evaluation of the eligible articles independently.The meta-analysis was undertaken,by using RevMan 5.4.Results:Totally,15 papers were included,involving 1316 patients.The results of meta-analysis showed that after treated with acupuncture,the differences were statistical significance as compared with the routine treatment group in the score of the second edition of Acute Physiology and Chronic Health Evaluation(APACHEⅡ)(MD=-1.98,95％CI[-3.23,-0.73],P=0.002),gastrointestinal dysfunction score(MD=-0.33,95％CI[-0.41,-0.24],P＜0.00001),the intra-abdominal pressure(mmHg)(MD=-2.74,95％CI[-3.81,-1.67],P＜0.00001),intensive care unit(ICU)length of stay(MD=-3.15,95％CI[-5.99,-0.30],P＜0.00001)and fatality rate in 28-day(RR=0.57,95％CI[0.39,0.85],P=0.006)in critically ill patients with AGI,respectively.Conclusion:The limited available evidence suggests that acupuncture relieves clinical symptoms and poor prognosis in the critically ill patients with AGI,thus,it is one of the potential therapies to AGI.Hence,acupuncture should be recommended into the regimen of AGI in critically ill patients and more high-quality and multi-central trials can be undertaken in the further.

陈晓桐;杨艳;钱义明;侯瑜超;谢静;李琪;李璟;王文佳

上海中医药大学附属岳阳中西医结合医院,上海222437,中国;上海市江湾医院,上海200434,中国;上海市宝山区中西医结合医院,上海201999,中国;上海中医药大学,上海201203,中国

世界针灸杂志（英文版）

[1]陈晓桐;杨艳;钱义明;侯瑜超;谢静;李琪;李璟;王文佳-.针灸治疗急性胃肠损伤的系统评价和meta分析)[J].世界针灸杂志（英文版）,2022(04):277-286

针灸治疗,急性胃肠损伤,meta,Objective,systematically,review,clinical,therapeutic,effect,acupuncture,acute,gastrointestinal,injury,AGI,critically,ill,patients,Methods,randomized,control,trials,were,retrieved,from,databases,inception,cutoff,date,August,including,China,National,Knowl,edge,Infrastructure,Wanfang,VIP,Biology,Medicine,disc,CBM,Direct,Cochrane,Library,Simultaneously,accomplished,published,RCTs,further,searched,American,registry,platform,Chinese,Two,researchers,extracted,performed,quality,evaluation,eligible,articles,independently,analysis,was,undertaken,by,using,RevMan,Results,Totally,papers,included,involving,results,showed,that,after,treated,differences,statistical,significance,compared,routine,treatment,group,score,second,edition,Acute,Physiology,Chronic,Health,Evaluation,APACHE,MD,dysfunction,intra,abdominal,pressure,mmHg,intensive,care,unit,ICU,length,stay,fatality,rate,day,RR,respectively,Conclusion,limited,available,evidence,suggests,relieves,symptoms,poor,prognosis,thus,one,potential,therapies,Hence,should,be,recommended,into,regimen,more,high,multi,central

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