發(fā)布時間：2018-08-31 19:17

【摘要】：目的:通過Meta分析,評價愛維莫潘對根治性全膀胱切除術(shù)后胃腸道及住院時間的影響。方法:通過檢索Cochrane Library、Pubmed、Web of Science,檢索2000年至2017年公開發(fā)表的文獻。排除不符合要求的文獻,根據(jù)Jadad量表以及Newcastle-Ottawa量表進行質(zhì)量評價并提取相關(guān)數(shù)據(jù),用Rev man 5.3軟件進行Meta分析。評價指標為術(shù)后常規(guī)飲食時間、住院時間、術(shù)后腸梗阻發(fā)生率。結(jié)果:總共納入8篇文獻,經(jīng)Meta分析提示,愛維莫潘組的術(shù)后常規(guī)飲食時間短于對照組(HR 1.24,95%CI[1.12-1.38],P0.0001),愛維莫潘組的住院時間短于對照組(WMD-1.16,95%CI[-1.58,-0.73],P0.00001),愛維莫潘組的術(shù)后腸梗阻發(fā)生率低于對照組(OR 0.27,95%CI[0.16-0.48],P0.00001)。結(jié)論:應(yīng)用愛維莫潘能使根治性全膀胱切除術(shù)患者的術(shù)后常規(guī)飲食時間和住院時間縮短,術(shù)后腸梗阻發(fā)生率降低。
[Abstract]:Objective: to evaluate the effect of ivermosan on gastrointestinal tract and hospital stay after radical cystectomy by Meta analysis. Methods: the literature published from 2000 to 2017 was searched by Cochrane Library,Pubmed,Web of Science,. According to the Jadad scale and the Newcastle-Ottawa scale, the quality evaluation was carried out and the relevant data were extracted. The Meta analysis was carried out with Rev man 5.3 software. The evaluation indexes were routine diet time, hospitalization time and incidence of postoperative intestinal obstruction. Results: a total of 8 articles were included. The results of Meta analysis showed that the postoperative routine diet time of the Evermosan group was shorter than that of the control group (HR 1.24 鹵95 CI [1.12-1.38] P 0.0001), the hospitalization time of the Avermosan group was shorter than that of the control group (WMD-1.16,95%CI [-1.58h-0.73] P 0.00001), and the incidence of postoperative intestinal obstruction in the Evermosan group was lower than that in the control group (OR 0.27995 CI [0.16-0.48] P 0.00001). Conclusion: the routine diet time and hospitalization time of patients undergoing radical cystectomy were shortened and the incidence of intestinal obstruction was decreased.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R737.14

【參考文獻】

相關(guān)期刊論文 前9條

1 韋葦;易賢林;庾文朝;唐勇;陸浩源;張慶云;蒙清貴;程繼文;;腹腔鏡下膀胱癌根治術(shù)后腸梗阻的放射影像學評價[J];中國臨床研究;2016年11期

2 孟一森;蘇楊;范宇;虞巍;王宇;鄭衛(wèi);諶誠;周利群;張騫;李學松;韓文科;何志嵩;金杰;;根治性膀胱全切術(shù)后腸梗阻的危險因素分析(附740例報道)[J];北京大學學報(醫(yī)學版);2015年04期

3 許傳亮;曾蜀雄;張振聲;于曉雯;宋瑞祥;韋榮超;魯欣;李惠珍;周鐵;楊波;高旭;侯建國;王林輝;孫穎浩;;腹腔鏡下全膀胱切除術(shù)療效及早期并發(fā)癥的臨床分析[J];中華泌尿外科雜志;2014年07期

4 樓群兵;劉宇;;全麻聯(lián)合硬膜外麻醉對腹部手術(shù)患者胃腸道保護作用[J];全科醫(yī)學臨床與教育;2013年06期

5 蘇秋妹;王清華;;快速康復(fù)護理對胃腸手術(shù)患者術(shù)后恢復(fù)情況及并發(fā)癥影響分析[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2013年30期

6 劉林;許勤;陳麗;;腹部外科手術(shù)后患者早期下床活動的研究進展[J];中華護理雜志;2013年04期

7 朱維銘;;再談胃腸道術(shù)后早期炎性腸梗阻[J];中國實用外科雜志;2013年04期

8 盧強;吳萬瑞;楊羅艷;趙曉昆;鐘朝暉;王蔭槐;胡勝;;咀嚼口香糖對根治性膀胱切除并尿流改道患者術(shù)后腸蠕動的影響[J];中國現(xiàn)代醫(yī)學雜志;2011年10期

9 楊建芬;李寧;黎介壽;;術(shù)后腸梗阻的診斷及治療(附137例報告)[J];中國實用外科雜志;2005年12期

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