嚼口香糖是否能促进腹部手术后的恢复？——首次更新。

Does chewing gum improve recovery after an abdominal surgery?--First update.

作者信息

Rada Gabriel, Viñuela José

机构信息

Programa de Salud Basada en Evidencia, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; GRADE working group; The Cochrane Collaboration; Proyecto Epistemonikos. Address: Facultad de Medicina, Pontificia Universidad Católica de Chile, Lira 63, Santiago Centro, Chile. Email:

Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos.

出版信息

Medwave. 2015 Jun 18;15 Suppl 1:e6162. doi: 10.5867/medwave.2015.6162.

DOI:10.5867/medwave.2015.6162

PMID:25627680

Abstract

This Living FRISBEE (Living FRIendly Summary of the Body of Evidence using Epistemonikos) is an update of the summary published in November 2014, based on four new systematic reviews published since then. Postoperative ileus is common condition that delays recovery after an abdominal surgery. Early use of sham feeding with chewing gum stimulates peristalsis and would allow an earlier nutrition. Searching in Epistemonikos database, which is maintained by screening 30 databases, we identified 18 systematic reviews including 81 randomized trials. We combined the evidence using meta-analysis and generated a summary of findings following the GRADE approach. We concluded that chewing gum probably reduces the length of hospital stay after an abdominal surgery.

摘要

这份“活体飞盘”（使用Epistemonikos的循证医学友好型证据总结）是基于自2014年11月发布总结以来新发表的四项系统评价对该总结的更新。术后肠梗阻是腹部手术后延迟恢复的常见情况。早期使用咀嚼口香糖的假饲法可刺激肠蠕动，并能更早地进行营养支持。在通过筛选30个数据库维护的Epistemonikos数据库中进行检索，我们识别出18项系统评价，其中包括81项随机试验。我们使用荟萃分析合并证据，并按照GRADE方法生成了结果总结。我们得出结论，咀嚼口香糖可能会缩短腹部手术后的住院时间。