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口香糖和咖啡消费但不摄入咖啡因改善了胃肠外科手术后的肠功能:系统性审查和网络元分析
Stefanie Sinz1,2, René Warschkow1, Ignazio Tarantino1
1Department of Surgery, Cantonal Hospital of St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
概括
口香糖和咖啡有效地减少了手术后的阴茎症状,包括时间到第一次浮和排便,并缩短了住院时间. 在胃肠道手术后,建议使用这些非侵入性方法.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 基于证据的医学基于证据的医学.
背景情况:
- 手术后的腹膜是胃肠道手术后的常见并发症.
- 寻求非侵入性干预以减轻其影响并改善患者的康复.
- 口香糖和咖啡因摄入是胃肠机动性的潜在调节剂.
研究的目的:
- 进行一个网络元分析,比较口香糖和咖啡/咖啡因摄入的疗效.
- 为了评估它们对胃肠道手术后关键的骨相关结果的影响.
- 为术后护理提供基于证据的建议.
主要方法:
- 随机对照试验 (RCT) 的系统文献综述.
- 频率主义随机效应网络元分析用于直接和间接比较.
- 使用马尔科夫链的贝叶斯网络元分析.
- 评估结果:到第一次浮的时间,到第一次排便的时间,以及住院时间.
主要成果:
- 分析了32个涉及4999名患者的RCT.
- 口香糖显著减少了第一次浮 (MD:-11h) 和排便 (MD:-18h) 的时间.
- 咖啡摄入量还减少了第一次排便的时间 (MD: -13小时) 和逗留时间 (MD: -1.5天).
- 口香糖减少了逗留时间 (MD: -0.9天).
结论:
- 咖啡和口香糖是有效的非侵入性策略,用于管理手术后的.
- 这些干预措施显著缩短了第一次排便的时间,并减少了住院时间.
- 建议包括将咖啡和口香糖添加到术后护理中,特别是在开放性胃肠道手术后.
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