›› 2017, Vol. 2 ›› Issue (8): 89-93.

• 护理学 • 上一篇    下一篇

咀嚼口香糖对结直肠术后肠道功能恢复效果的Meta分析

  

  1. (大理大学护理学院,云南大理671000)
  • 收稿日期:2016-05-31 出版日期:2017-08-15 发布日期:2017-08-15
  • 作者简介:和晓凤,助教,主要从事临床护理研究.

Effect of Chewing Gum on the Recovery of Bowl Function after Colorectal Surgery: A Meta-analysis

  1. (College of Nursing, Dali University, Dali, Yunnan 671000, China)
  • Received:2016-05-31 Online:2017-08-15 Published:2017-08-15

摘要:

目的:评价咀嚼口香糖对结直肠术后肠道功能恢复的效果。方法:检索Cochrane library、PubMed、Embase、Medline、
Web of Science、CBM、CNKI、万方、维普数据库,纳入咀嚼口香糖对结直肠术后肠道功能恢复效果的随机对照试验(RCT),检索
时限均为建库至2015年11月,同时追溯纳入研究的参考文献。对纳入研究进行质量评价和资料提取,并采用RevMan 5.3软件
进行Meta分析。结果:共纳入14个RCT,包括1 041例患者。Meta分析结果显示:与对照组相比,咀嚼口香糖可显著缩短术后
首次排气时间[MD=-9.60 h,95%IC(-15.22,-3.98),P<0.001],缩短术后首次排便时间[MD=-17.19 h,95%IC(-26.04,-8.34),
P<0.001],缩短术后住院时间[MD=-1.16 d,95%IC(-2.01,-0.32),P<0.05]。结论:咀嚼口香糖可以促进结直肠术后肠道功
能的恢复。

关键词: 结直肠术, 咀嚼口香糖, Meta分析

Abstract:

Objective:To evaluate the efficacy of chewing gum on the recovery of bowel function after colorectal surgery. Methods:
A thorough search of the data from Cochrane Library, PubMed, Embase, Medline, Web of Science, CBM, CNKI, Wanfang and Vip was
performed. Randomized controlled trials(RCT)about effect of chewing gum on bowel function after colorectal surgery were collected,
and meta-analysis was conducted with RevMan 5.3 software. Results:Fourteen RCT including 1 041 patients were enrolled in this
study. The Meta-analysis revealed that chewing gum could significantly reduce the time to the first passage of flatus[MD=-9.60 h,
95%IC(-15.22,-3.98), P<0.001], the time to first defecation[MD=-17.19 h, 95%IC(-26.04, -8.34), P<0.001], and postoperative
hospital stay after colorectal surgery[MD=-1.16 d, 95%IC(-2.01, -0.32), P<0.05]. Conclusion:Chewing gum is an effective way
to promote the recovery of bowel function after colorectal surgery.

Key words: colorectal surgery, chewing gum, Meta-analysis

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