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目的:用Meta分析探讨体位干预对妇科腹腔镜术后腹腔引流效果的影响。方法:采用主题词结合自由词原则,电子检索国内中文数据库收集相关文献,根据纳入标准筛选文献并提取数据,采用STATA 12.0软件进行Meta分析。结果:共计纳入4项临床对照研究,包括362例接受腹腔镜手术的妇科患者,其中体位干预组181例,常规对照组181例。文献汇总结果表明,相对于常规对照组患者,体位干预组患者术后腹腔引流总量明显减少(SMD=-82.04,95%CI=-119.39~-44.69,P<0.001),术后置管天数和术后住院天数均明显缩短(依次为:SMD=-0.52,95%CI=-0.78~-0.27,P<0.001;SMD=-0.45,95%CI=-0.74~-0.17,P=0.002)。结论:体位干预能够改善妇科腹腔镜术后腹腔引流情况,同时更利于患者术后的恢复,值得在临床上推广。
OBJECTIVE: To investigate the effect of body position intervention on peritoneal drainage after gynecological laparoscopy by Meta-analysis. Methods: Adopting the keywords and the principle of free words, the author searched the domestic Chinese database electronically and screened the literature according to the inclusion criteria and extracted the data. The data were analyzed by STATA 12.0 software. Results: A total of 4 clinical control studies were included, including 362 gynecological patients undergoing laparoscopic surgery, of which 181 were in the intervention group and 181 in the conventional control group. The results of literature summarization showed that the total amount of peritoneal drainage in postoperative intervention group was significantly decreased compared with that in the control group (SMD = -82.04, 95% CI = -119.39 ~ -44.69, P <0.001) And the number of postoperative hospitalizations were significantly shorter (SMD = -0.52, 95% CI = -0.78 ~ -0.27, P <0.001; SMD = -0.45,95% CI = -0.74 -0.17, P = 0.002) . Conclusion: Postural intervention can improve peritoneal drainage after gynecological laparoscopic surgery, and is more conducive to the recovery of patients after operation. It is worth to be popularized clinically.