天津护理2024,Vol.32Issue(5):539-542,4.DOI:10.3969/j.issn.1006-9143.2024.05.007
咀嚼口香糖对胃癌术后患者胃肠功能恢复效果的系统评价
Effects of chewing gum on gastrointestinal function recovery after gastric cancer surgery:a Meta-analysis
摘要
Abstract
Objective:To systematically evaluate the effectiveness of chewing gum on gastrointestinal function recovery of postoperative patients with gastric cancer.Methods:The Randomized Controlled Trials(RCTs)regarding chewing gum on gastrointestinal function recovery after gastric cancer surgery were collected using the Cochrane Library,PubMed,Embase,CINAHL,Web of Science,China Biomedical Literature Database(CBM),CNKI,Chinese Science and VIP Database for Chinese Technical Periodicals and WanFang Data.Data were extracted after bias risk assessment of the included studies,and Meta-analysis was performed by Revman 5.3.Results:A total of 10 RCTs with 853 patients were included.The results revealed that chewing gum after gastric cancer surgery reduced the postoperative time to first flatus[MD=-15.07,95%CI(-20.01,-10.13),P<0.001],the time of first postoperative bowel movement[MD=-17.59,95%CI(-21.60,-13.57),P<0.001],the time to first audible bowel sounds[MD=-5.89,95%CI(-6.97,-4.82),P<0.001].It also significantly decreased the incidence of abdominal bloating[RR=0.17,95%CI(0.08,0.35),P<0.001]and shortened the length of postoperative hospital stay[MD=-1.93,95%CI(-3.17,-0.68),P=0.002].Conclusion:Gum chewing can promote the recovery of gastrointestinal function in patients after gastric cancer surgery and reduce hospital stay duration.关键词
胃癌手术/咀嚼口香糖/术后肠梗阻/Meta分析Key words
Gastric cancer surgery/Chewing gum/Postoperative ileus/Meta-analysis分类
医药卫生引用本文复制引用
刘海静,王荣梅,胡芳..咀嚼口香糖对胃癌术后患者胃肠功能恢复效果的系统评价[J].天津护理,2024,32(5):539-542,4.基金项目
国家自然科学基金青年科学基金项目(81702233) (81702233)