关键词:

宫颈癌, 术后尿潴留, 温阳化气, meta分析

Abstract:

 Objective　To evaluate the efficacy of warming yang and transforming qi in the treatment of urinary retention after radical resection of cervical cancer by meta analysis system. Methods　Chinese National Knowledge Infrastructure (CNKI), Wanfang data Medical Information system, VIP Information Resource system (VIP), Chinese Biomedical Literature Database, PubMed, Embase, Cochrane Library, and Web of Science were searched from the date of establishment of the databases to January 31, 2023. Cochrane bias risk assessment tool was used to evaluate the quality of included literatures, and RevMan 5.4 software was used for meta analysis. Results　A total of 352 patients were included in 5 literatures. The results of meta analysis showed that the adjuvant therapy of warming yang and transforming qi could reduce the incidence of urinary retention after radical resection of cervical cancer (OR=0.13, 95%CI [0.04, 0.40], Z=3.55, P=0.000 4) and bladder residual urine (WMD=-54.71, 95%CI [-56.10, -53.32], Z=77.05, P<0.000 01), and improve the total effective rate of treatment (OR=1.19, 95%CI [1.05, 1.34], Z=2.77, P=0.006). Conclusion　Compared with routine treatment of western medicine alone, the adjuvant therapy of warming yang and transforming qi may have potential advantages in improving urinary retention after radical resection of cervical cancer, which needs to be verified by more high-quality studies.

Key words:

Cervical cancer, Postoperative urinary retention, Warming yang and transforming qi, Meta analysis