Effects of early oral feeding on postoperative recovery of patients undergoing gastrointestinal surgery:a Meta-analysis
10.3760/cma.j.issn.1674-2907.2017.14.020
- VernacularTitle:术后早期经口进食对胃肠道手术患者术后恢复影响的Meta分析
- Author:
Han SHENG
1
;
Xueying LIU
;
Limei WANG
;
Meihua DING
;
Rong WANG
;
Hui LYU
;
Shengwen SHAO
Author Information
1. 314000,浙江省嘉兴市第一医院心内科
- Keywords:
Fasting;
Gastrointestinal tract;
Early oral feeding;
Post operation;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2017;23(14):1907-1915
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of early oral feeding on postoperative recovery of patients undergoing gastrointestinal surgery.Methods CNKI, China Biology Medicine database (CBM), PubMed, Embase, The Cochrane Library and Web of Science databases were screened. Randomized controlled trials (RCTs) and their references from 2006 to 2016 were recruited using Meta-analysis. RevMan 5.3 software was used for data processing.Results A total of 11 RCTs containing 2188 patients were included in the study. In patients with early oral feeding compared to patients with traditional fasting, there were statistically significant differences in first time of flatus [MD=-0.90 d, 95%CI (-1.12, -0.67),P<0.05], first time of stools [MD= -0.89 d, 95%CI (-1.11, -0.79),P<0.05], nasogastric tube reinsertion rate [RR=0.57, 95%CI (0.36, 0.90), P<0.05], fist time of regular diet [RR=0.57 d, 95%CI (0.36, 0.90),P<0.05], and infective complications rate [RR=0.45, 95%CI (0.28, 0.74),P<0.05]; No significant differences were observed for vomiting [RR=1.44, 95%CI (0.69, 3.19),P>0.05], abdominal distension [RR=1.29, 95%CI (0.70, 2.36),P>0.05], the total incidence rate of postoperative complications [RR=0.82, 95%CI (0.59, 1.15),P>0.05]and non-infective complications [RR=0.78, 95%CI (0.49, 1.25),P>0.05].Conclusions Early oral feeding is beneficial to the recovery of gastrointestinal function in patients with digestive system diseases, and significantly reduces the infective complications.
