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在腹部手术后,针对腹的不同预防措施的效果评估:系统性审查和网络元分析
Yan Cui1,2, Chengzu Zhang1, Hui Zhang1
1First School of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Heliyon
|February 19, 2024
概括
口服阿片类抗体和电针 (EA) 与口香糖相结合,是预防手术后阴最有效的干预措施. 对腹部按摩和咖啡干预措施需要进一步的研究.
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:
- 手术后腹膜 (POI) 是腹部手术后的一个常见并发症.
- 对于POI预防,有许多干预措施存在,但它们的比较有效性尚不清楚.
- 随机对照试验 (RCT) 对POI预防策略提供了不同的证据.
研究的目的:
- 进行一个网络元分析,比较不同干预措施在预防手术后结核病方面的相对有效性.
- 确定最佳策略来减少POI发生率和相关的恢复时间.
主要方法:
- 对中国和外国医疗数据库进行相关RCT的系统选.
- 使用STATA软件与频率和随机效应模型进行网络元分析.
- 包括105个RCT,涉及18840名参与者.
主要成果:
- 静脉注射止痛药在预防POI发病率方面显示出最高的有效性 (SUCRA: 90.5).
- 术后腹部机械按摩在减少第一次术后排气时间方面最有效 (SUCRA:97.3).
- 高剂量的阿片类药物抗剂和加速康复有效地减少了第一次排便的时间 (SUCRA: 84.3) 和开始正常饮食的时间 (SUCRA: 85.4).
结论:
- 口服阿片类抗体和电针 (EA) 结合口香糖被认为是减少POI发生率的最有效干预措施.
- 腹部机械按摩和咖啡保证了对POI预防的进一步高质量的研究.
- 这一分析为POI管理中的临床决策提供了宝贵的见解.
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