| 剖宫产术后咀嚼口香糖促进肠道功能恢复的系统评价 |
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| 引用本文： | 袁远霞,赵红利,何佳,龚钿. 剖宫产术后咀嚼口香糖促进肠道功能恢复的系统评价[J]. 中国循证医学杂志, 2011, 11(4): 427-432 |
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| 作者姓名： | 袁远霞 赵红利 何佳 龚钿 |
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| 作者单位： | 1. 眉山市人民医院妇产科,四川眉山,620010
2. 四川大学华西医院中国循证医学中心,成都,610041 |
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| 摘 要： | 目的系统评价剖宫产术后咀嚼口香糖促进肠道功能恢复的有效效和安全性。方法计算机检索Cochrane Library、MEDLINE、EMbase和中国生物医学文献数据库,检索时间从建库至2010年,纳入比较剖宫产术后咀嚼口香糖与其他治疗方式促进肠道功能恢复的随机对照试验,在对纳入研究的偏倚风险进行评估后,采用RevMan 5.0.22软件进行Meta分析。结果共纳入3个随机对照试验,共745例患者。Meta分析结果显示:剖宫产术后咀嚼口香糖可以缩短患者术后首次肛门排气时间[MD=–6.54,95%CI(–7.82,–5.27),P<0.00001],减少术后肠梗阻的发生[RR=0.54,95%CI(0.34,0.87),P=0.01],可能缩短住院时间[MD=–0.21,95%CI(–0.39,–0.03),P=0.02]。目前尚缺乏足够的数据支持剖宫产术后咀嚼口香糖的安全性。结论剖宫产术后咀嚼口香糖可以促进患者术后胃肠功能恢复,减少术后肠梗阻的发生。但由于纳入研究数较少,方法学质量不高,因此尚需更多高质量研究以增加论证强度。
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| 关 键 词： | 剖宫产 咀嚼口香糖 术后肠梗阻 肠道功能 系统评价 |
Chewing Gum in Promoting Bowel Recovery after Cesarean Section: A Systematic Review |
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| YUAN Yuan-xia,ZHAO Hong-li,HE Jia,GONG Dian. Chewing Gum in Promoting Bowel Recovery after Cesarean Section: A Systematic Review[J]. Chinese Journal of Evidence-based Medicine, 2011, 11(4): 427-432 |
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| Authors: | YUAN Yuan-xia ZHAO Hong-li HE Jia GONG Dian |
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| Affiliation: | YUAN Yuan-xia1,ZHAO Hong-li1*,HE Jia2,GONG Dian1 1.Department of Obstetrics and Gynecology,Meishan People's Hospital,Chengdu 610041,China,2.Chinese Evidence-Based Medicine Center,West China Hospital,Sichuan University |
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| Abstract: | Objective To assess the efficacy and safety of chewing gum in promoting bowel recovery after cesarean section.Methods Such databases as The Cochrane Library,MEDLINE,EMbase and CBM were searched from their establishment to 2010 to include the randomized controlled trials(RCTs) of comparing chewing gum with other procedures for promoting postoperative bowel function after cesarean section.The risks of bias in the included studies were evaluated at randomization,allocation concealment,blinding,completeness of ... |
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| Keywords: | Cesarean section Chewing gum Postoperative ileus Bowel function Systematic review |
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