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手术后的口香糖对胃肠功能在拉皮镜妇科手术后的影响. 随机对照试验的元分析
Athanasios Douligeris1, Michail Diakosavvas1, Nikolaos Kathopoulis1
1Endoscopic Surgery Unit, 1st Department of Obstetrics & Gynecology, "Alexandra" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Journal of minimally invasive gynecology
|July 8, 2023
概括
手术后的口香糖有助于胃肠道恢复,在女性进行腹腔镜妇科手术. 这种做法显著减少了第一个肠道声音和腹通道的时间,促进了更快的恢复.
科学领域:
- 妇科外科手术 妇科外科
- 胃肠道功能 胃肠道功能
- 术后护理 术后护理
背景情况:
- 对于良性疾病的腹腔镜妇科手术可能导致胃肠功能恢复的延迟.
- 早期恢复肠道功能对于患者的康复和减少住院时间至关重要.
研究的目的:
- 为了评估术后的口香糖在腹腔镜妇科手术后对胃肠功能的影响.
- 综合了关于这种干预的随机对照试验的证据.
主要方法:
- 在五个主要数据库中进行了系统的文献搜索,截至2023年2月.
- 包括随机对照试验,比较口香糖和没有口香糖的经过 laparoscopic 妇科手术后的试验.
- 用RevMan 5.4软件进行了元分析,以分析结果.
主要成果:
- 手术后的口香糖显著减少了第一个肠道声音 (MD-2.58小时) 和第一个浮通道 (MD-3.97小时) 的时间.
- 在第一次排便,患者动员,住院或肠道阻塞风险的时间内没有观察到显著差异.
- 亚组分析表明,在腹腔镜切除子宫术后,口香糖口或排便时间没有显著的益处.
结论:
- 手术后的口香糖似乎有利于加快腹腔镜妇科手术后胃肠道动员.
- 由于包含的随机对照试验数量有限,研究结果应谨慎解释.
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