针灸在胃肠道肿瘤术后恢复中的疗效：系统综述与荟萃分析

REN Si-si; HOU Yu-chao; QIN Shan-ya; CHENG Shu-qun

doi:10.1007/s11655-025-4149-6

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针灸在胃肠道肿瘤术后恢复中的疗效：系统综述与荟萃分析

Evidence-Based Integrative Medicine | Updated：2026-08-04

- 针灸在胃肠道肿瘤术后恢复中的疗效：系统综述与荟萃分析
- Efficacy of Acupuncture in Postoperative Recovery for Gastrointestinal Tumors: A Systematic Review and Meta-Analysis
- 中国结合医学杂志（英文版） 2026年32卷第7期页码：642-649
- Affiliations：
  
  1.Cancer Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai (200437), China
  2.Department of Hepatic Surgery Ⅵ, the Third Affiliated Hospital of Naval Medical University, Shanghai (200438), China
- Author bio：
  
  Prof. CHENG Shu-qun, E-mail: chengshuqun@aliyun.com
- Funds：
  
  the National Key R&D Program of China(2022YFC2503700);the State Key Project of Natural Science Foundation of China(81730097);Top Priority Research Center Project(2023ZZ02005);Science Fundation of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine(KY111.30.223);Shanghai Municipal Health Commission Clinical Research Special Fund for the Health Industry(20244Y0216)
- DOI：10.1007/s11655-025-4149-6
  中图分类号：
- 录用：2025-08-29，
  
  网络首发：2026-01-07，
  
  纸质出版：2026-07
- Accepted：
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REN Si-si, HOU Yu-chao, QIN Shan-ya, 等. 针灸在胃肠道肿瘤术后恢复中的疗效：系统综述与荟萃分析[J]. 中国结合医学杂志（英文版）, 2026,32(7):642-649.

REN Si-si, HOU Yu-chao, QIN Shan-ya, et al. Efficacy of Acupuncture in Postoperative Recovery for Gastrointestinal Tumors: A Systematic Review and Meta-Analysis[J]. Chinese Journal of Integrative Medicine, 2026, 32(7): 642-649.
REN Si-si, HOU Yu-chao, QIN Shan-ya, 等. 针灸在胃肠道肿瘤术后恢复中的疗效：系统综述与荟萃分析[J]. 中国结合医学杂志（英文版）, 2026,32(7):642-649. DOI： 10.1007/s11655-025-4149-6.

REN Si-si, HOU Yu-chao, QIN Shan-ya, et al. Efficacy of Acupuncture in Postoperative Recovery for Gastrointestinal Tumors: A Systematic Review and Meta-Analysis[J]. Chinese Journal of Integrative Medicine, 2026, 32(7): 642-649. DOI： 10.1007/s11655-025-4149-6.

摘要

背景：

术后胃肠道功能障碍（POGD）是胃肠道肿瘤术后常见并发症，严重影响患者康复进程与生活质量。目前，针灸改善POGD的临床疗效尚不明确。

目的：

系统评价针灸在促进胃肠道肿瘤患者术后胃肠功能恢复中的作用，为临床实践提供循证依据。

方法：

系统检索PubMed、Cochrane Library、EMbase、Web of Science、中国知网、万方数据和维普数据库，检索时限为建库至2024年12月4日。纳入采用针灸或电针治疗胃肠道肿瘤患者的临床研究。主要结局指标包括首次排气时间、首次排便时间、首次经口进食时间及住院时间；次要结局指标为白细胞计数（WBC）和C反应蛋白（CRP）水平。采用《Cochrane干预措施系统评价手册》推荐的范围评价法评估研究质量。

结果：

共纳入8项随机对照试验，涉及413例患者。荟萃分析显示，针灸可显著缩短首次排气时间（

0.05）、首次经口进食时间（

0.05）及住院时间（

0.05），但对首次排便时间无显著影响（

=0.53）。此外，针灸可显著降低术后第3天及第6/7天的CRP水平（

0.05），以及术后第6/7天的WBC计数（

0.05）。纳入研究的总体偏倚风险评为低至不清楚。

结论：

现有证据表明，针灸作为辅助治疗手段可有效改善胃肠道肿瘤患者术后POGD。未来仍需开展高质量随机对照试验以验证上述发现，并优化临床治疗方案。（注册号：CRD420250651195）

Abstract

Background:

Postoperative gastrointestinal dysfunction (POGD) is a common complication following gastrointestinal tumor surgery

significantly impairing patient recovery and quality of life. The efficacy of acupuncture in improving POGD remains unclear. Objective: To evaluate the role of acupuncture in enhancing postoperative gastrointestinal function in patients with gastrointestinal tumors

providing evidence-based clinical insights.

Methods:

Relevant studies were searched in PubMed

Cochrane Library

EMbase

Web of Science

China National Knowledge Infrastructure

Wanfang Data

and VIP Database from inception to December 4

2024. Only clinical-type studies involving acupuncture or electroacupuncture in the treatment of patients with gastrointestinal tumors were included. The primary outcomes were the first flatus time

first bowel movement time

first oral feeding

and hospitalization time. Secondary outcomes included white blood cell (WBC) count and C-reactive protein (CRP) level. Study quality was appraised using the domain-based evaluation described in the Cochrane Handbook.

Results:

This study included 8 randomized control trials (CRCTs) involving 413 patients. Meta-analysis revealed that acupuncture significantly

reduced the time to first flatus (

0.05)

time to first oral feeding (

0.05)

and hospital stay (

0.05). However

it did not significantly affect the time to first bowel movement (

=0.53). Additionally

acupuncture significantly decreased CRP levels at 3 and 6/7 d postoperatively (

0.05)

as well as WBC counts at 6/7 d (

0.05). The overall risk of bias of the included studies was rated as low to unclear.

Conclusions:

Current evidence supports acupuncture as an effective adjunctive treatment for improving postoperative POGD in patients with gastrointestinal tumors. Further

high-quality RCTs are needed to validate these findings and optimize clinical protocols. (Registration No. CRD420250651195)

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