CAJ | 학술논문

目的：系统评价剖宫产后咀嚼口香糖促进胃肠功能恢复的有效性和安全性。方法计算机检索PubMed、EMBASE、Cochrane Library、CNKI和万方数据库，检索时间从建库至2014年12月，纳入比较剖宫产术后咀嚼口香糖与其他治疗方式促进胃肠功能恢复的随机对照试验，采用RevMan 5.3软件进行Meta分析。结果最终纳入9个随机对照试验，共1654例患者。Meta分析结果显示，剖宫产术后咀嚼口香糖能缩短患者术后首次排气时间、肠鸣音恢复时间、排便时间、患者住院时间（P<0.05），减少术后肠梗阻的发生（P<0.05）。结论剖宫产术后咀嚼口香糖可以促进患者胃肠功能的恢复，对于剖宫产产妇术后恢复有一定益处。
목적：계통평개부궁산후저작구향당촉진위장공능회복적유효성화안전성。방법계산궤검색PubMed、EMBASE、Cochrane Library、CNKI화만방수거고，검색시간종건고지2014년12월，납입비교부궁산술후저작구향당여기타치료방식촉진위장공능회복적수궤대조시험，채용RevMan 5.3연건진행Meta분석。결과최종납입9개수궤대조시험，공1654례환자。Meta분석결과현시，부궁산술후저작구향당능축단환자술후수차배기시간、장명음회복시간、배편시간、환자주원시간（P<0.05），감소술후장경조적발생（P<0.05）。결론부궁산술후저작구향당가이촉진환자위장공능적회복，대우부궁산산부술후회복유일정익처。
Objective: To assess the efifcacy and safety of chewing gum in restoring gastrointestinal function after cesarean section. Methods: We searched PubMed, EMBASE, Cochrane Library, CNKI and Wanfang datebase from their establishment to December 2014 to include the randomized controlled trials (RCTs) that comparing chewing gum with other procedure in restoring gastrointestinal function after cesarean section. The meta-analysis was performed by RevMan 5.3 software.Results:Nine RCTs with 1654 patients met the inclusion criteria. The meta-analysis showed that chewing gum could signiifcantly shorten time to ifrst lfatus, time to ifrst bowel motion, time to ifrst passage of feces, duration stay(P<0.05) and reduced the risks of postoperative ileus (P<0.05).Conclusion: Chewing gum can promote restoration of gastrointestinal function and thus beneifts rehabilitation of patients after cesarean section.