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口香糖对术后胃肠功能恢复的影响:系统性审查和元分析
Chaoyang Wang1, Bing Li2, ZiQian Wang2
1Department of Colorectal and Anal Surgery, Huaihe Hospital of Henan University, Kaifeng, China. wangchaoyang10475@163.com.
Annals of surgical oncology
|September 18, 2025
概括
口香糖显著加快了手术后的胃肠道恢复,因为它减少了第一次浮和排便的时间. 这种安全,具有成本效益的干预措施可以缩短住院时间,降低阻塞风险.
科学领域:
- 胃肠病学 胃肠病学
- 术后恢复 术后恢复
- 基于证据的医学基于证据的医学.
背景情况:
- 手术后的胃肠功能障碍是一种常见的并发症.
- 寻求非药物干预来改善康复.
- 据假设,口香糖刺激可以增强肠道运动性.
研究的目的:
- 系统地评估口香糖在手术后胃肠道恢复方面的有效性.
- 综合来自随机对照试验 (RCT) 的证据.
主要方法:
- 系统性审查和RCT的元分析.
- 在PubMed,Embase和Cochrane图书馆的数据库中进行了搜索.
- 包括35项试验,涉及4898名患者.
主要成果:
- 缩短了第一次手术后浮 (WMD = -12.19小时) 和肠道排便 (WMD = -19.54小时) 的时间.
- 缩短住院时间 (WMD = -0.93天) 和减少术后肠道阻塞的发生率 (RR = 0.7).
- 没有对胀气,吐,恶心或第一次食的时间产生显著影响.
结论:
- 是一种安全且具有成本效益的补充剂,可增强术后胃肠道恢复.
- 建议将其纳入术后方案,以改善患者的治疗结果.
- 需要进一步研究长期益处和临床实施.
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