剖腹产后咖啡与口香糖对肠道功能的影响:系统性审查和网络元分析
Tianyu Gao1, Qindong Liu, He Wang
1Department of Cardiopulmonary Bypass, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
International journal of surgery (London, England)
|July 3, 2025
概括
与没有干预相比,口香糖和咖啡消费都加速了剖腹产后肠道功能恢复. 口香糖在减少康复时间和并发症方面表现出更大的有效性.
科学领域:
- 产科和妇科 产科和妇科
- 胃肠病学 胃肠病学
- 基于证据的医学基于证据的医学.
背景情况:
- 手术后的腹膜是剖腹产后的常见并发症,延迟了患者的康复.
- 加快肠道功能恢复的干预措施对于改善患者的治疗结果和减少住院时间至关重要.
研究的目的:
- 系统地比较咖啡消费和口香糖对剖腹产患者术后肠功能恢复的影响.
- 通过网络元分析,对比对照组对这些干预措施的有效性.
主要方法:
- 随机对照试验的系统审查和网络元分析.
- 包括20项研究,包括2876名接受剖腹产的患者.
- 主要结局:第一次排便的时间,浮气和肠道声音;次要结局:饥饿,食物耐受性,住院,并发症和满意度.
主要成果:
- 与对照组相比,咖啡消费和口香糖都显著减少了第一次排便和浮的时间.
- 口香糖显示出更快的肠道声音恢复趋势,并显著减少住院时间,并发症和改善患者满意度.
- 在咖啡和口香糖之间没有发现主要结果的显著差异,但咖啡改善了食物耐受性.
结论:
- 口香糖比咖啡更有效地促进剖腹产后整体术后肠道功能恢复.
- 这两种干预措施在加速关键恢复标志物方面都比标准护理更有好处.
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