摘要
目的了解国内消化系统疾病术后行常规胃肠减压的必要性，术后早期停止胃肠减压的可行性和安全性。方法计算机检索维普中文科技期刊数据库（VIP）、中国期刊网数据库（CNKI）、中国生物医学文献数据库（CBM），检索时间均为2000年1月-2013年1月，按纳入与排除标准选择随机对照试验（RCT）。评价质量及提取资料后，采用RevMan4．2软件对数据进行Meta分析。结果共纳入7个RCT，包括1110例患者，其中术后早期停止胃肠减压组（观察组）551例，术后常规进行胃肠减压组（对照组）559例。Meta分析结果显示，观察组咽喉不适的发生率低于对照组，合并OR=0．08，95％CI：0．03～0．22，且差异有统计学意义（P〈0．01）；观察组发生肺部感染率也低于对照组，合并OR=0．27，95％CI：0．14～0．52，差异有统计学意义（P〈0．01）；观察组吻合口瘘发生率低于对照组，合并OR=0．75，95％CI：0．23～2．31，差异无统计学意义（P〉0．05）。结论早期停止胃肠减压能降低术后患者发生咽喉不适、肺部感染的危险。
Objective To comprehend the necessity of gastrointestinal decompression after operationin domestic digestive system diseases. Methods The VIP,CNKI and CBM were searched, and then the randomized controlled trials （RCT） were selected according to bringing-into and elimination, and finally data was analyzed by RevMan 4.2. Results 7 RCTs were taken, including 551 cases who quit gastrointestinal decompression early （observational group）and 559 cases who took gastrointestinal decompression normally （control group）. The incidence rate of throat ache in observa- tional group was significantly lower than that in control group（P 〈0.01 ） , and the pooled OR value was 0.08, with a 95% confidence interval （0.03 -0.22）. Meanwhile, the incidece rate of pneumonia in observational group was siganif- icantly lower than that in control group （P 〈0.01 ） , and the pooled OR value was 0.27, with a 95% confidence inter- val （0.14 -0.52）. The difference of anastomotic leak between observational group and control group was not siganificant （P 〉 0.05 ）, and the pooled OR value was 0.75, with a 95 % confidence interval （0.23 - 2.31 ）. Conclusion Quiting gastrointinal decompression early can reduce the risk of throat ache and pneumonia.
出处
《胃肠病学和肝病学杂志》
CAS
2013年第9期877-881,共5页
Chinese Journal of Gastroenterology and Hepatology
关键词
胃肠减压
消化系统疾病手术
META分析
Gastrointinal decompression
Digestive system surgical procedures
Meta-analysis
