• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

鼻肠管与鼻胃管在小肠梗阻治疗中的比较：一项荟萃分析。

Nasointestinal tubes versus nasogastric tubes in the management of small-bowel obstruction: A meta-analysis.

作者信息

Dong Xian-Wen, Huang Shi-Liang, Jiang Zhou-Hua, Song Yu-Fei, Zhang Xue-Song

机构信息

Department of Gastroenterology Department of Surgery, Lihuili Hospital of Ningbo Medical Center, Ningbo University, Ningbo, Zhejiang, China.

出版信息

Medicine (Baltimore). 2018 Sep;97(36):e12175. doi: 10.1097/MD.0000000000012175.

DOI:10.1097/MD.0000000000012175
PMID:30200119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6133588/
Abstract

BACKGROUND

There is no consensus regarding the therapeutic effect of nasointestinal tubes (NITs) versus nasogastric tubes (NGTs) in the management of small-bowel obstruction (SBO). This study aimed to compare the clinical outcomes between the use of NITs and NGTs in the management of SBO.

METHODS

Published studies on comparing NITs with NGTs in the treatment of SBO were searched from electronic databases. Two investigators independently extracted the data; any discrepancies were adjudicated by a third investigator. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated using Review Manager 5.0.

RESULTS

An extensive literature search identified 268 relevant publications, 4 of which met the inclusion criteria. There were no significant differences in the nonrequirement of operative intervention between NITs and NGTs groups (OR: 1.79; 95% CI: 0.55, 5.84). Compared with the NGTs, the NITs, which successfully passed through the pylorus, did not decrease the rate of operation in patients with SBO (OR: 2.19; 95% CI: 0.59, 8.15). There was no advantage of NITs over NGTs in patients with partial SBO (P-SBO) (OR: 1.04; 95% CI: 0.23, 4.60). Postoperative complications were compared between the groups (OR: 2.13; 95% CI: 1.09, 4.15).

CONCLUSION

The result of this meta-analysis showed no advantage of NITs over NGTs in the management of patients with SBO.

摘要

背景

在小肠梗阻（SBO）的治疗中，鼻肠管（NITs）与鼻胃管（NGTs）的治疗效果尚无共识。本研究旨在比较NITs和NGTs在SBO治疗中的临床结局。

方法

从电子数据库中检索比较NITs与NGTs治疗SBO的已发表研究。两名研究者独立提取数据；任何差异由第三名研究者裁决。使用Review Manager 5.0计算合并比值比（OR）和95%置信区间（CI）。

结果

广泛的文献检索确定了268篇相关出版物，其中4篇符合纳入标准。NITs组和NGTs组在无需手术干预方面无显著差异（OR：1.79；95%CI：0.55，5.84）。与NGTs相比，成功通过幽门的NITs并未降低SBO患者的手术率（OR：2.19；95%CI：0.59，8.15）。在部分性SBO（P-SBO）患者中，NITs并不优于NGTs（OR：1.04；95%CI：0.23，4.60）。比较了两组的术后并发症（OR：2.13；95%CI：1.09，4.15）。

结论

这项荟萃分析的结果表明，在SBO患者的治疗中，NITs并不优于NGTs。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/edd39ab7dcd0/medi-97-e12175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/11a1d63b2c8e/medi-97-e12175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/a56b2f3f0f58/medi-97-e12175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/edd39ab7dcd0/medi-97-e12175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/11a1d63b2c8e/medi-97-e12175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/a56b2f3f0f58/medi-97-e12175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/6133588/edd39ab7dcd0/medi-97-e12175-g004.jpg

相似文献

1
Nasointestinal tubes versus nasogastric tubes in the management of small-bowel obstruction: A meta-analysis.鼻肠管与鼻胃管在小肠梗阻治疗中的比较：一项荟萃分析。
Medicine (Baltimore). 2018 Sep;97(36):e12175. doi: 10.1097/MD.0000000000012175.
2
Use of tubes and radiographs in the management of small bowel obstruction.小肠梗阻治疗中导管及X光片的应用
Ann Surg. 1987 Aug;206(2):126-33. doi: 10.1097/00000658-198708000-00002.
3
Who would avoid severe adverse events from nasointestinal tube in small bowel obstruction? A matched case-control study.谁能避免小肠梗阻患者经鼻肠管发生严重不良事件？一项匹配病例对照研究。
BMC Gastroenterol. 2022 Jul 7;22(1):332. doi: 10.1186/s12876-022-02405-8.
4
Management of small bowel obstruction and systematic review of treatment without nasogastric tube decompression.小肠梗阻的管理及无鼻胃管减压治疗的系统评价
Surg Open Sci. 2022 Nov 7;12:62-67. doi: 10.1016/j.sopen.2022.10.002. eCollection 2023 Mar.
5
A prospective, randomized trial of short versus long tubes in adhesive small-bowel obstruction.一项关于粘连性小肠梗阻中短管与长管的前瞻性随机试验。
Am J Surg. 1995 Oct;170(4):366-70. doi: 10.1016/s0002-9610(99)80305-5.
6
Incidence and risk factors of early postoperative small bowel obstruction in patients undergoing hysterectomy for benign indications.良性指征行子宫切除术患者术后早期小肠梗阻的发生率及危险因素。
Am J Obstet Gynecol. 2019 Mar;220(3):251.e1-251.e9. doi: 10.1016/j.ajog.2018.11.1095. Epub 2018 Nov 22.
7
Conservative management of adhesive small bowel obstructions in patients previously operated on for primary colorectal cancer.对既往因原发性结直肠癌接受手术的患者粘连性小肠梗阻的保守治疗。
J Gastrointest Surg. 2008 May;12(5):926-32. doi: 10.1007/s11605-007-0423-5. Epub 2007 Dec 1.
8
National Health Burden of Aspiration Pneumonia on Clinical and Operational Outcomes in Patients With Small Bowel Obstruction Requiring Nasogastric Decompression. aspiration pneumonia aspiration pneumonia
Am Surg. 2021 Jul;87(7):1074-1079. doi: 10.1177/0003134820960049. Epub 2020 Dec 14.
9
Adult small bowel obstruction.成人小肠梗阻。
Acad Emerg Med. 2013 Jun;20(6):528-44. doi: 10.1111/acem.12150.
10
Oral traditional Chinese medication for adhesive small bowel obstruction.口服中药治疗粘连性小肠梗阻。
Cochrane Database Syst Rev. 2012 May 16;2012(5):CD008836. doi: 10.1002/14651858.CD008836.pub2.

引用本文的文献

1
Clinical factors associated with surgical interventions in patients with intestinal obstruction caused by abdominal tuberculosis.腹部结核所致肠梗阻患者手术干预的相关临床因素。
Surg Today. 2025 Jul 8. doi: 10.1007/s00595-025-03098-8.
2
Machine Learning Predicts the Need for Surgical Intervention in Adhesive Small Bowel Obstruction.机器学习预测粘连性小肠梗阻的手术干预需求。
J Anus Rectum Colon. 2024 Oct 25;8(4):323-330. doi: 10.23922/jarc.2024-036. eCollection 2024.

本文引用的文献

1
A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction.经鼻肠梗阻导管与鼻胃管治疗黏连性小肠梗阻的前瞻性随机对照研究。
World J Gastroenterol. 2012 Apr 28;18(16):1968-74. doi: 10.3748/wjg.v18.i16.1968.
2
New simplified intestinal decompression tube.新型简易肠道减压管。
Am J Surg. 1946 Jul;72:137-42. doi: 10.1016/0002-9610(46)90151-1.
3
Rapid resolution of small-bowel obstruction with the long tube, endoscopically advanced into the jejunum.
Am J Surg. 2007 Feb;193(2):184-9. doi: 10.1016/j.amjsurg.2006.11.005.
4
Small bowel obstruction: conservative vs. surgical management.小肠梗阻：保守治疗与手术治疗
Dis Colon Rectum. 2005 Jun;48(6):1140-6. doi: 10.1007/s10350-004-0882-7.
5
Laparoscopic diagnosis and treatment of intestinal obstruction.腹腔镜诊断与治疗肠梗阻。
Surg Endosc. 2004 Jan;18(1):26-30. doi: 10.1007/s00464-003-8804-7. Epub 2003 Nov 21.
6
Complications of gastrointestinal intubation.胃肠插管的并发症。
Arch Surg. 1961 Jul;83:147-60. doi: 10.1001/archsurg.1961.01300130151018.
7
Acute adhesive ileus; a study of 412 cases with particular reference to the abuse of tube decompression in treatment.急性粘连性肠梗阻；412例病例研究，特别提及治疗中滥用胃肠减压的情况。
Surg Gynecol Obstet. 1952 Oct;95(4):472-6.
8
Methodological index for non-randomized studies (minors): development and validation of a new instrument.非随机研究的方法学指标（未成年人）：一种新工具的开发与验证
ANZ J Surg. 2003 Sep;73(9):712-6. doi: 10.1046/j.1445-2197.2003.02748.x.
9
Long tube decompression is successful in 90% of patients with adhesive small bowel obstruction.长管减压术对90%的粘连性小肠梗阻患者有效。
Am J Surg. 2003 Jun;185(6):512-5. doi: 10.1016/s0002-9610(03)00074-6.
10
Interrater reliability of the modified Jadad quality scale for systematic reviews of Alzheimer's disease drug trials.用于阿尔茨海默病药物试验系统评价的改良 Jadad 质量量表的评分者间信度。
Dement Geriatr Cogn Disord. 2001 May-Jun;12(3):232-6. doi: 10.1159/000051263.