腹部按摩对鼻胃管喂养的危重患者胃肠道耐受性影响的系统评价与Meta分析  

Effects of abdominal massage on gastrointestinal tolerance in critically ill patients fed by nasogastric tube:a systematic review and Meta-analysis

作　　者：盛贵箫 沈芳[2] 崔飞飞 沈梅芬[1] Sheng Guixiao;Shen Fang;Cui Feifei;Shen Meifen(Neurosurgical Department,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Nursing School of Soochow University,Suzhou 215006,China;Emergency ICU Department,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院神经外科,215006 [2]苏州大学护理学院,215006 [3]苏州大学附属第一医院急诊ICU,215006

出　　处：《中国实用护理杂志》2020年第1期71-77,共7页Chinese Journal of Practical Nursing

摘　　要：目的评价鼻胃管喂养的危重患者应用腹部按摩对胃肠道耐受性的影响。方法计算机检索中国生物医学文献数据库、中国知网、万方、维普数据库、Cochrane Library、PubMed、Embase、CENTRAL数据库。2名研究者对符合纳入标准的文献进行质量评价和资料提取,采用RevMan5.3软件进行统计分析。结果共纳入8项随机对照试验,包括628例患者。Meta分析结果显示,腹部按摩可以减少危重患者的胃残余量(WMD=-45.45,95%CI-56.62^-34.28,P<0.01),降低胃潴留发生率(OR=0.13,95%CI 0.06~0.29,P<0.01)、腹胀发生率(OR=0.23,95%CI 0.13~0.43,P<0.01)、呕吐发生率(OR=0.14,95%CI 0.06~0.36,P<0.01)。结论对于鼻胃管喂养的危重患者,腹部按摩可以减少其胃残余量,降低胃潴留、腹胀、呕吐的发生率。Objective To evaluate the effect of abdominal massage on gastrointestinal tolerance in critically patients with nasogastric tube feeding.Methods The Chinese Biomedical Literature Database,China National Knowledge Infrastructure,The Wang fang database,Chinese Science and Technology Periodical Database,Cochrane Libraty,PubMed,Embase,CENTRAL were searched.Two researchers conducted quality evaluation and data extraction on studies that met the inclusion criteria.Data were analyzed with RevMan5.3 software.Results Eight randomized controlled trials were included,including 628 patients.The results of Meta-analysis showed that abdominal massage could reduce the gastric residual volume of critically ill patients(WMD=-45.45,95%CI-56.62--34.28,P<0.01),and reduce the incidence of gastric retention(OR=0.13,95%CI 0.06-0.29,P<0.01),incidence of abdominal distension(OR=0.23,95%CI 0.13-0.43,P<0.01),incidence of vomiting(OR=0.14,95%CI 0.06-0.36,P<0.01).Conclusions For critically ill patients with nasogastric tube feeding,abdominal massage can reduce the gastric residual volume and reduce the incidence of gastric retention,distension and vomiting.

关 键 词：腹部 按摩 重症监护 肠内营养 META分析 

分 类 号：R4[医药卫生—临床医学] R24