Huang Xue-Xia, Gu Hui-Feng, Shen Ping-Hua, Chu Bo-Liang, Chen Ying
Department of Obstetrics, Huzhou Maternal and Child Health Hospital, Huzhou 313000, Zhejiang Province, China.
Department of Nursing, Huzhou Maternal and Child Health Hospital, Huzhou 313000, Zhejiang Province, China.
World J Gastrointest Surg. 2024 Nov 27;16(11):3559-3567. doi: 10.4240/wjgs.v16.i11.3559.
The effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery was not clear.
To systematically evaluate the effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery.
The Cochrane Library, Web of Science, PubMed, ProQuest, and the Chinese biomedical literature databases Wanfang, Weipu, and CNKI were used to search for relevant studies on controlled trials of electrical stimulation in gynecological abdominal surgery patients from self-established databases to May 2024. The RevMan software (version 5.3) was used to analyze the included literature and explore the heterogeneity of each study.
Seven controlled trials, involving 520 patients, were included. The results of meta-analysis showed that electrical stimulation could shorten the recovery time of intestinal sound after gynecological abdominal surgery [odds ratio (OR): -5.11, 95%CI: -5.84 to -4.38, < 0.00001] and improve the time of first anal exhaust (OR: -1.19, 95%CI: -1.38 to -0.99, < 0.00001), improved the time of first anal defecation (OR: -0.98, 95%CI: -1.19 to -0.78, < 0.00001), The difference is significant. According to the funnel plot, if the scatter is symmetrical, it indicates that the funnel plot is unbiased.
Electrical stimulation can shorten this reduces the length of time it takes for the patient to recover from bowel sounds and also affects the time to first anal voiding and defecation to some extent, thereby promoting gastrointestinal function recovery after gynecological abdominal surgery. The quality of the studies included in this review was poor, which may have affected the final results. It is necessary to conduct a randomized controlled study with higher quality and more samples to further confirm the promoting effect of electrical stimulation on gastrointestinal function recovery to guide clinical treatment.
电刺激对妇科腹部手术后胃肠功能恢复的影响尚不清楚。
系统评价电刺激对妇科腹部手术后胃肠功能恢复的影响。
使用Cochrane图书馆、Web of Science、PubMed、ProQuest以及中国生物医学文献数据库万方、维普和知网，从自建数据库至2024年5月检索关于妇科腹部手术患者电刺激对照试验的相关研究。使用RevMan软件（5.3版）分析纳入文献并探讨各研究的异质性。
纳入7项对照试验，涉及520例患者。Meta分析结果显示，电刺激可缩短妇科腹部手术后肠鸣音恢复时间[比值比（OR）：-5.11，95%置信区间（CI）：-5.84至-4.38，P<0.00001]，并改善首次肛门排气时间（OR：-1.19，95%CI：-1.38至-0.99，P<0.00001），改善首次肛门排便时间（OR：-0.98，95%CI：-1.19至-0.78，P<0.00001），差异有统计学意义。根据漏斗图，若散点对称，则表明漏斗图无偏倚。
电刺激可缩短患者肠鸣音恢复所需时间，在一定程度上还影响首次肛门排气和排便时间，从而促进妇科腹部手术后胃肠功能恢复。本综述纳入研究的质量较差，可能影响了最终结果。有必要开展更高质量、更大样本量的随机对照研究，进一步证实电刺激对胃肠功能恢复的促进作用，以指导临床治疗。
