不置胃管在快速康复外科结直肠癌围术期有效性和安全性的Meta分析  

Efficiency and safety of non-nasogastric tube on fast-track surgery patients with colorectal cancer : Metaanalysis and systematic review

作　　者：彭淼[1] 李显蓉[2] 

机构地区：[1]泸州医学院护理学院,646000 [2]泸州医学院附属医院普外科,646000

出　　处：《实用医学杂志》2015年第7期1171-1175,共5页The Journal of Practical Medicine

基　　金：四川省卫生厅科研基金资助项目(编号:110364)

摘　　要：目的:探讨在快速康复外科护理干预措施中结直肠癌围术期不留置胃管的有效性和安全性。方法:计算机检索Pub Med、CBM、Cochrane Library、中国知网、万方数据库和维普数据库发表的快速康复外科中结直肠癌围术期不留置胃管临床效果的相关文献,采用Rev Man5.3软件统计分析。结果:有8篇文献纳入分析,试验组409例,对照组438例。不置胃管缩短了术后肛门排气的时间(WMD-14.30,95%CI:-16.91^-11.69,P<0.01);缩短了患者术后住院时间(WMD-1.97,95%CI:-2.59^-1.34,P<0.01);降低肺部感染发生率,(RR 0.37,95%CI:0.19~0.73,P<0.01);咽喉部不适感降低(P<0.01),胃肠道并发症差异无统计学意义(P>0.05)。结论:结直肠手术中不常规留置胃管是安全可行的。Objective To evaluate the efficiency and safety of non- nasogastric tube on fast-track surgery patients with colorectal cancer. Methods We searched PubMed, CBM, Cochrane Library, CNKI, Wanfang and Vip data. Controlled trials that met the criteria were selected. All reports were collected and analyzed by RevMan5.3. Results 8 reports were enrolled. The non-nasogastric tube group had a shorter anus exhausting time and lower morbidity of pulmonary and throat complications, and it also had a shorter postoperative length of hospital stays. Significant differences were found between the non-nasogastric tube group and the control group （P 〈 0.01）. There are no significant difference in the morbidity of gastrointestinal complications （P 〉 0.05）. Conclusion Current evidence shows that non-nasgastric tubes are recommended for the patients with colorectal cancer surgery

关 键 词：胃管 快速康复外科 结直肠癌 META分析 

分 类 号：R473.73[医药卫生—护理学]