中华护理杂志 ›› 2022, Vol. 57 ›› Issue (2): 215-222.DOI: 10.3761/j.issn.0254-1769.2022.02.016
高洪莲(), 王春美(), 王晓敏, 许丽娜, 王瑞知, 李书彦, 李滕, 李兴国
收稿日期:
2021-06-15
出版日期:
2022-01-20
发布日期:
2022-01-20
通讯作者:
王春美,E-mail: wcm761224@126.com作者简介:
高洪莲:女,硕士,护师,E-mail: 77ghl@163.com
GAO Honglian(), WANG Chunmei(), WANG Xiaomin, XU Lina, WANG Ruizhi, LI Shuyan, LI Teng, LI Xingguo
Received:
2021-06-15
Online:
2022-01-20
Published:
2022-01-20
摘要:
目的 全面检索和分析非药物干预在促进胃肠道恶性肿瘤患者术后胃肠道功能恢复的相关证据,并对最佳证据进行总结。方法 按照6S证据资源金字塔模型,通过计算机检索UpToDate、Cochrane clinical answers、美国国立指南库、英国国家卫生与临床优化研究所、新西兰指南协作组、医脉通、Cochrane Library、PubMed、中国知网、万方、维普等数据库关于非药物干预促进胃肠道恶性肿瘤患者术后胃肠道功能恢复的临床决策、指南、专家共识、证据总结、系统评价,检索时限为2010年1月—2020年5月,由3名研究者独立对相关文献进行质量评价,并结合专业判断对最终纳入文献进行标准化的资料提取。结果 共纳入文献15篇,包括4篇临床决策、1篇指南、3篇专家共识、7篇系统评价,总结了12条最佳证据,包括多策略干预、预防性胃肠减压、术后早期活动、咀嚼口香糖、饮用咖啡、针灸疗法等。结论 该研究总结的最佳证据具有科学性与实用性,医护人员可遵循最佳证据为胃肠道恶性肿瘤术后患者制订促进胃肠道功能恢复的干预方案,促进循证实践。
高洪莲, 王春美, 王晓敏, 许丽娜, 王瑞知, 李书彦, 李滕, 李兴国. 非药物干预促进胃肠道恶性肿瘤患者术后功能恢复的最佳证据总结[J]. 中华护理杂志, 2022, 57(2): 215-222.
GAO Honglian, WANG Chunmei, WANG Xiaomin, XU Lina, WANG Ruizhi, LI Shuyan, LI Teng, LI Xingguo. Evidence summary for nonpharmacological interventions in promoting gastrointestinal function recovery after gastrointestinal malignancies surgery[J]. Chinese Journal of Nursing, 2022, 57(2): 215-222.
表3 促进胃肠道恶性肿瘤患者术后胃肠道功能恢复的最佳证据总结
Table 3 Evidence summary for promoting gastrointestinal function recovery after postoperative gastrointestinal malignancy
[1] |
Siegel RL, Miller KD, Jemal A. Cancer statistics[J]. CA Cancer J Clin, 2019, 69(1):7-34.
DOI URL |
[2] |
Zhao B, Lü W, Mei D, et al. Comparison of short-term surgical outcome between 3D and 2D laparoscopy surgery for gastrointestinal cancer:a systematic review and meta-analysis[J]. Langenbecks Arch Surg, 2020, 405(1):1-12.
DOI URL |
[3] |
Chapman SJ, Pericleous A, Downey C, et al. Postoperative ileus following major colorectal surgery[J]. Br J Surg, 2018, 105(7):797-810.
DOI PMID |
[4] |
Bragg D, Elsharkawy AM, Psaltis E, et al. Postoperative ileus:recent developments in pathophysiology and management[J]. Clin Nutr, 2015, 34(3):367-376.
DOI URL |
[5] |
Asgeirsson T, EI-Badawi KI, Mahmood A, et al. Postoperative ileus:it costs more than you expect[J]. J Am Coll Surg, 2010, 210(2):228-231.
DOI URL |
[6] |
Kehlet H. Postoperative ileus:an update on preventive techni-ques[J]. Nat Clin Pract Gastroenterol Hepatol, 2008, 5(10):552-558.
DOI URL |
[7] |
Adam MA, Lee LM, Kim J, et al. Alvimopan provides additional improvement in outcomes and cost savings in enhanced recovery colorectal surgery[J]. Ann Surg, 2016, 264(1):141-146.
DOI URL |
[8] |
Keller DS, Flores-Gonzalez JR, Ibarra S, et al. Is there value in alvimopan in minimally invasive colorectal surgery?[J]. Am J Surg, 2016, 212(5):851-856.
DOI URL |
[9] | 周雪玲, 何晓兰, 杨运娥, 等. 温水足浴联合咀嚼口香糖在结直肠癌术后病人中的应用[J]. 护理研究, 2017, 31(5):619-620. |
Zhou XL, He XL, Yang YE, et al. Application of warm water footbath combined with gum chewing for patients after colo-rectal cancer surgery[J]. Chin Nurs Res, 2017, 31(5):619-620. | |
[10] |
Dulskas A, Klimovskij M, Vitkauskiene M, et al. Effect of coffee on the length of postoperative ileus after elective laparoscopic left-sided colectomy:a randomized,prospective single-center study[J]. Dis Colon Rectum, 2015, 58(11):1064-1069.
DOI URL |
[11] | Liu Z, Yan S, Wu J, et al. Acupuncture for chronic severe functional constipation:a randomized trial[J]. Ann Intern Med, 2016, 165(11):761-769. |
[12] | 蔡清香, 赵敏, 黎玉辉, 等. 经皮穴位电刺激辅助麻醉在腔镜肠癌根治术患者加速康复外科中的应用[J]. 新中医, 2020, 52(19):122-125. |
Cai QX, Zhao M, Li YH, et al. Application of transcutaneous electrical point stimulation combined with anesthesiato patients after laparoscopic radical resection for colorectal cancer in enhanced recovery after surgery[J]. J New Chin Medi, 2020, 52(19):122-125. | |
[13] | 孙龙, 李菊云, 段培蓓, 等. 不同时间点耳穴贴压对胃癌患者术后胃肠功能恢复的作用[J]. 中华护理杂志, 2015, 50(7):844-847. |
Sun L, Li JY, Duan PB, et al. The treatment effect of auricular point sticking at different time on promoting the recovery of gastrointestinal function in postoperative patients with gastric cancer[J]. Chin J Nurs, 2015, 50(7):844-847. | |
[14] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018:56-93. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018:56-93. | |
[15] | 米元元, 沈月, 郝彬, 等. ICU患者肠内营养支持并发腹泻的循证护理实践[J]. 中华护理杂志, 2017, 52(11):1291-1298. |
Mi YY, Shen Y, Hao B, et al. Evidence-based nursing practice of enteral nutrition support among ICU patients with diarrhea[J]. Chin J Nurs, 2017, 52(11):1291-1298. | |
[16] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
Wang CQ, Hu Y. JBI evidence pre-grading and evidence recommendation level system(2014)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[17] |
Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery:enhanced recovery after surgery (ERAS) society recommendations:2018[J]. World J Surg, 2019, 43(3):659-695.
DOI PMID |
[18] | Kalff JC, Wehne S, Litkouhi B. Measures to prevent prolonged postoperative ileus[EB/OL].(2020-10-27)[2021-02-20]. https://www.uptodate.cn/contents/zh-Hans/measures-to-prevent-prolon-ged-postopera-tive-ileus. |
[19] | Ricciardi R, MacKay G, Joshi GP. Enhanced recovery after colo-rectal surgery[EB/OL].(2020-10-26)[2021-02-20].https://www.uptodate.cn/contents/zh-Hans/enhanced-recovery-after-colorectal-surge-ry. |
[20] | Hebbard P. Partial gastrectomy and gastrointestinal reconstru-ction[EB/OL]. [2021-02-08].https://www.uptodate.cn/contents/zh-Hans/partial-gastrectomy-and-gastrointestinal-reconstruction. |
[21] | Hodin RA, Bordeianou L. Inpatient placement and management of nasogastric and nasoenteric tubes in adults[EB/OL].(2020-03-17)[2021-04-20]. https://www.uptodate.cn/contents/zh-Hans/inpatient-place-ment-and-management-of-nasogastric-and-nasoe-nteric-tubes-in-adults. |
[22] | 赵玉沛, 李宁, 杨尹默, 等. 中国加速康复外科围手术期管理专家共识(2016)[J]. 中华外科杂志, 2016, 54(6):413-418. |
Zhao YP, Li N, Yang YM, et al. Expert consensus of perioperative management of accelerated rehabilitation surgery (2016)[J]. Chin J Surg, 2016, 54(6):413-418. | |
[23] | 江志伟, 李宁. 结直肠手术应用加速康复外科中国专家共识(2015版)[J]. 中国实用外科杂志, 2015(8):785-787. |
Jiang ZW, Li N. Chinese expert consensus on accelerated rehabilitation surgery of colrectal surgery (2015)[J]. Chin J Pra-cti Surg, 2015(8):785-787. | |
[24] | 余佩武, 江志伟, 郝迎学, 等. 胃癌胃切除手术加速康复外科专家共识(2016版)[J]. 中华消化外科杂志, 2017, 16(1):14-17. |
Yu PW, Jiang ZW, Hao YX, et al. Expert consensus on enhanced recovery after gastrectomy for gastric cancer(2016 edition)[J]. Chin J Dig Surg, 2017, 16(1):14-17. | |
[25] | Short V, Herbert G, Perry R, et al. Chewing gum for postoperative recovery of gastrointestinal function[J]. Cochrane Data-base Syst Rev, 2015: CD006506. |
[26] | Liu YH, Dong GT, Ye Y, et al. Effectiveness of acupuncture for early recovery of bowel function in cancer:a systematic review and meta-analysis[J]. Evid Based Complement Alternat Med, 2017: 2504021. |
[27] |
Eamudomkarn N, Kietpeerakool C, Kaewrudee S, et al. Effect of postoperative coffee consumption on gastrointestinal function after abdominal surgery:a systematic review and meta-analysis of randomized controlled trials[J]. Sci Rep, 2018, 8(1):17349.
DOI PMID |
[28] |
Gkegkes ID, Minis EE, Iavazzo C. Effect of caffeine intake on postoperative ileus:a systematic review and meta-analysis[J]. Dig Surg, 2020, 37(1):22-31.
DOI URL |
[29] | 杨雪梅, 张正馨, 谭小艺, 等. 术后早期咀嚼口香糖对结直肠癌术后胃肠道功能恢复效果的Meta分析[J]. 中国循证医学杂志, 2015, 15(5):542-549. |
Yang XM, Zhang ZX, Tan XY, et al. Effect of chewing gum on the promotion of intestinal function recovery after colorectal cancer surgery:a meta-analysis[J]. Chin J Evid-based Med, 2015, 15(5):542-549. | |
[30] | 周飞燕, 许勤, 陈丽, 等. 胃肠术后早期咀嚼口香糖促进胃肠道功能恢复效果的系统评价[J]. 中华护理杂志, 2012, 47(9):843-846. |
Zhou FY, Xu Q, Chen L, et al. Effect of early gum chewing on gastrointestinal recovery after gastrointestinal surgery:a systematic review[J]. Chin J Nurs, 2012, 47(9):843-846. | |
[31] | 易怀秀, 顾平, 刘言. 腹腔镜术后咀嚼口香糖促进胃肠道功能恢复效果的Meta分析[J]. 中国护理管理, 2020, 20(8):1196-1203. |
Yi HX, Gu P, Liu Y. The effects of gum chewing on gastrointestinal recovery after laparoscopic surgery:a meta-analysis[J]. Chin Nurs Manag, 2020, 20(8):1196-1203. | |
[32] | 王东峰, 史新凤, 鲁燕. 中医护理对胃肠道手术患者术后胃肠道功能恢复的影响[J]. 新中医, 2020, 52(15):182-184. |
Wang DF, Shi XF, Lu Y. Effect of Chinese medicine nursing on recovery of gastrointestinal function in patients after gastrointestinal surgery[J]. J New Chin Medi, 2020, 52(15):182-184. | |
[33] | 蒋文英, 李丽君. 护理干预在腹腔镜阑尾切除术后促进胃肠道功能恢复的应用[J]. 中国实用护理杂志, 2015(增刊2):63-64. |
Jiang WY, Li LJ. Effects of treatment and care for the recovery of gastrointestinal function after gastrointestinal surgery and postoperative complications of integrative medicine[J]. Chin J Pract Nurs, 2015(z2):63-64. | |
[34] |
Rao W, Zhang X, Zhang J, et al. The role of nasogastric tube in decompression after elective colon and rectum surgery:a meta-analysis[J]. Int J Colorectal Dis, 2011, 26(4):423.
DOI URL |
[35] | Hu JX, Li LL, Dai F, et al. Clinical observation of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer[J]. IJNSS, 2015, 2(1):47-51. |
[36] |
Bergeat D, Merdrignac A, Robin F, et al. Nasogastric decompression vs no decompression after pancreaticoduodenectomy:the randomized clinical IPOD trial[J]. JAMA Surg, 2020, 155(9):e202291.
DOI URL |
[37] |
Weijs TJ, Kumagai K, Berkelmans GH, et al. Nasogastric decompression following esophagectomy:a systematic literature review and meta-analysis[J]. Dis Esophagus, 2017, 30(3):1-8.
DOI PMID |
[38] |
Gaignard E, Bergeat D, Courtin-Tanguy L, et al. Is systematic nasogastric decompression after pancreaticoduodenectomy really necessary?[J]. Langenbecks Arch Surg, 2018, 403(5):573-580.
DOI URL |
[39] | Herbert G, Perry R, Andersen HK, et al. Early enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications[J]. Cochrane Database Syst Rev, 2019, 7(7):CD004080. |
[40] |
Yan X, Zhou FX, Lan T, et al. Optimal postoperative nutrition support for patients with gastrointestinal malignancy:a systematic review and meta-analysis[J]. Clin Nutr, 2017, 36(3):710-721.
DOI URL |
[41] | Ge B, Zhao H, Lin R, et al. Influence of gum-chewing on pos-toperative bowel activity after laparoscopic surgery for gastric cancer:a randomized controlled trial[J]. Medicine(Baltimore), 2017, 96(13):e6501. |
[42] | 陈潇, 张玉侠, 周海英, 等. 术后恶心呕吐非药物管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(11):1721-1728. |
Chen X, Zhang YX, Zhou HY, et al. Best evidence summary for non-pharmacological management of postoperative nausea and vomiting[J]. Chin J Nurs, 2021, 56(11):1721-1728. |
[1] | 韦小夏, 符鑫, 沈傲梅, 王玉洁, 张力川, 路潜. 乳腺癌患者淋巴水肿自我管理的证据总结[J]. 中华护理杂志, 2022, 57(2): 237-244. |
[2] | 麦秋露, 王君鑫, 杨丹, 李学靖, 张小艳, 郝玉芳. 我国临床护理实践指南改编研究的范围综述[J]. 中华护理杂志, 2022, 57(1): 105-112. |
[3] | 张晓娜, 李鑫丹, 芦鸿雁, 赵杰, 冯向侃. 出院准备服务对慢性阻塞性肺疾病患者干预效果的Meta分析[J]. 中华护理杂志, 2022, 57(1): 42-48. |
[4] | 杨雪凝, 李雪儿, 王松, 方紫妍, 柳静, Akimana Sandra, 张静. 慢性阻塞性肺疾病患者呼吸肌训练的最佳证据总结[J]. 中华护理杂志, 2022, 57(1): 49-55. |
[5] | 付子蔓, 王义婷, 蒲丛珊, 张莹莹, 张佳华, 单春剑. 男性对配偶围产期丧失体验的Meta整合[J]. 中华护理杂志, 2022, 57(1): 98-104. |
[6] | 李苗苗, 熊宇, 罗健. 炎症性肠病患者营养支持的最佳证据总结[J]. 中华护理杂志, 2021, 56(9): 1394-1400. |
[7] | 徐霓影, 任昕燕, 王茜茜, 沈睿, 盖家兴, 王俊杰. 痴呆患者进食困难管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(9): 1401-1407. |
[8] | 龚贝贝,米元元,韦彩云,黄海妹,吴金艳,玉明柳,刘宁梅,朱政. 肺结核患者规范化痰标本采集的最佳证据总结[J]. 中华护理杂志, 2021, 56(8): 1229-1235. |
[9] | 陶国芳,鲍杨娟,杨苏,邢美园,宋运莲,黄丽华. 慢性阻塞性肺疾病患者家庭氧疗管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(7): 983-990. |
[10] | 中华护理学会内科专业委员会, 执笔:毛燕君, 张素, 张红梅. 含碘对比剂静脉外渗护理管理实践指南[J]. 中华护理杂志, 2021, 56(7): 1008-1008. |
[11] | 肖星婷,王娴,王燕,穆文方,朱为康. 乳腺癌患者化疗所致脱发预防及护理的证据总结[J]. 中华护理杂志, 2021, 56(7): 1072-1078. |
[12] | 徐元元,史广玲,张燕红,徐建珍,刘娟,蒋学娟,杜海燕. 预防ICU患者大便失禁性皮炎的循证实践[J]. 中华护理杂志, 2021, 56(6): 811-817. |
[13] | 徐蓉,汪晖,杨伟梅,王兰,杨雪柯,肖亚茹,陈羽双,瞿茜,代玲,瞿佳. 患者身份识别最佳证据总结[J]. 中华护理杂志, 2021, 56(6): 921-928. |
[14] | 石志宜,卢颖,邢丽媛,刘纬华,王淑靖,王真真,张红梅. 妊娠相关下腰痛预防与管理的最佳证据总结[J]. 中华护理杂志, 2021, 56(6): 934-941. |
[15] | 刘飞,司龙妹,王影新,王悦,张树琪,丁炎明,李晶,谷洪涛. 乳腺癌相关淋巴水肿患者抗阻力训练的证据总结[J]. 中华护理杂志, 2021, 56(5): 755-761. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||