口服中药对妇科腹部术后胃肠功能恢复的Meta分析及回顾性研究

发布时间：2018-03-20 04:13

本文选题：围手术期　切入点：胃肠功能　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：通过研究口服中药对妇科腹部术后胃肠功能恢复的临床病例和文献,对口服中药对术后胃肠功能恢复的作用进行分析,为日后研究开发有关促进术后胃肠功能恢复的有效中药提供临床基础。方法：1.文献研究检索1994年1月1日～2016年4月23日CNKI、万方、CBM、Pubmed数据库收录的有关口服中药促进妇科腹部术后胃肠功能恢复的随机对照试验,根据纳入及排除标准,于363篇文献中选出符合纳入标准的13篇文献。2.临床研究收集2012年12月至2014年1月于广东省中医院妇科行全子宫切除术或次全子宫切除术患者的病例332份,从符合纳入标准的病例中记录口服中药的方剂,总结口服中药对妇科腹部术后胃肠功能恢复的影响。结果：1.通过文献检索,共检索到363篇。根据纳入和排除标准,最终有13篇文献符合要求纳入研究范围；系统分析口服中药在妇科腹部术后胃肠功能方面的疗效,与西医常规处理比较,口服中药能促进腹部术后肠鸣音恢复、缩短首次排气时间、首次排便时间。2.通过回顾性病例分析,共332份妇科全子宫切除术或次全子宫切除术后病例,其中应用了行气清热通腑法共127例,健脾理气通腑法共173例,无口服中药的共32例。结论：1.口服中药对妇科腹部手术后胃肠功能恢复具有有效性。常用的治法有行气清热通腑法、健脾理气通腑法。2.临床上口服中药应用于妇科腹部术后的文献较零散,整理分析显示,口服中药对于妇科腹部术后胃肠功能的恢复有促进作用。3.纳入的文献质量较低,有发表性偏倚可能,今后需进行更多更高质量的前瞻性临床随机对照试验。4.临床回顾性研究提示口服中药可缩短术后首次排气、排便时间、发热时间,降低腹胀腹痛发生率、恶心呕吐发生率。
[Abstract]:Objective: to study the effect of oral Chinese medicine on the recovery of gastrointestinal function after gynecological abdominal surgery, and to analyze the effect of oral Chinese medicine on the recovery of gastrointestinal function after operation. To provide a clinical basis for the future study on the development of effective Chinese medicine for promoting the recovery of gastrointestinal function after operation. Methods 1. Literature research on the promotion of oral Chinese medicine collected from January 1st 1994 to April 23rd 2016 in CNKI, Wanfang CBM Pubmed database. A randomized controlled trial on the recovery of gastrointestinal function after abdominal surgery in gynecology. According to the inclusion and exclusion criteria, 13 articles were selected out of 363 articles. The clinical study collected 332 cases of total or subtotal hysterectomy from December 2012 to January 2014 in Department of Gynecology, Guangdong Provincial Hospital of traditional Chinese Medicine. The effects of oral Chinese medicine on the recovery of gastrointestinal function after gynecological abdominal surgery were summarized by recording the prescriptions of oral Chinese medicine from the patients who met the inclusion criteria. Results: 1. By literature retrieval, 363 articles were retrieved, according to the inclusion and exclusion criteria, Finally, 13 articles were included in the study. The curative effect of oral Chinese medicine on gastrointestinal function after gynecological abdominal surgery was systematically analyzed. Compared with routine treatment of western medicine, oral Chinese medicine could promote the recovery of bowel sound after abdominal surgery. Through retrospective analysis of 332 cases of gynecological hysterectomy or subtotal hysterectomy, 127 cases were treated with Qi, clearing away heat, and 173 cases were treated with the method of invigorating spleen, regulating qi, regulating qi and regulating Fu organs. Conclusion: oral Chinese medicine is effective in the recovery of gastrointestinal function after gynecological abdominal surgery. Clinical application of oral Chinese medicine in gynecological abdominal surgery literature scattered, collation and analysis showed that oral Chinese medicine for gynecologic abdominal postoperative gastrointestinal function recovery. 3. The quality of the literature included is low. There is a possibility of publishing bias, and more and more high quality prospective clinical randomized controlled trials should be carried out in the future. Clinical retrospective studies suggest that oral Chinese medicine can shorten the first time of exhaust, defecation, fever, and reduce the incidence of abdominal distention and abdominal pain after operation. Incidence of nausea and vomiting.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.9

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