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侵袭性针是否可以改善结肠直肠癌手术后的术后? 一个系统的审查和元分析
Xiaohu Zhao1, Shangkun Si1, Xin Liu2
1College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Frontiers in medicine
|September 11, 2023
概括
侵入性针 (IA) 在结肠直肠癌 (CRC) 手术后显著加快术后 (POI) 的恢复. IA,特别是与手术后增强恢复 (ERAS) 相结合,提供了一种有希望的治疗方法,可以减少康复时间和住院时间.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 综合医学是一个整体的医学.
背景情况:
- 手术后阴道 (POI) 是结直肠癌 (CRC) 手术后的常见并发症,有效治疗方法有限.
- 目前关于侵入性针 (IA) 改善POI的疗效的证据很少.
研究的目的:
- 系统地审查和评估入侵性针 (IA) 在改善CRC手术后POI的影响.
- 评估IA对CRC患者康复结果的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的元分析.
- 在多个数据库 (PubMed,Embase,Cochrane等) 进行了搜索. 从开始到2023年2月.
- 包括13项涉及795名患者的研究,使用RevMan 5.3.3提取和分析数据.
主要成果:
- 与假药/无治疗相比,IA显著减少了第一次浮,第一次排便和第一次肠道排便的时间.
- 接受IA治疗的患者在住院时间较短.
- 与手术后增强恢复 (ERAS) 结合的IA在改善POI方面显示出优异的结果,与单独使用ERAS相比.
结论:
- 侵入性针 (IA),包括手动和电针,在CRC手术后促进POI恢复.
- 艾滋病治疗是管理POI的有效治疗选择.
- 将IA与ERAS协议结合起来,可以比单独的ERAS更有效地提高恢复结果.
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