摘要
目的 系统评价缩短先天性心脏病患儿择期手术术前禁食水时间的安全性和临床效果，为先天性脏病患儿的禁食禁水方案制定提供科学依据。方法系统检索中国学术期刊全文数据库、中国科技期刊全文数据库、万方数据库和PubMed，收集相关文献，根据纳入排除标准筛选文献、提取资料、评价质量后，用RevMan5.3软件进行分析。结果本研究共纳入5篇文献，meta分析结果显示缩短先天性心脏病患儿择期手术术前禁食水时间能降低术前哭闹饥饿［RR=0.31,95%CI(0.14,0.69),p<0.01］、低血糖反应［RR=0.38,95%CI(0.20,0.73),p<0.01］、术中误吸，恶心呕吐［RR=0.42,95%CI(0.25,0.70),p<0.01］的发生率，且没有证据表明新的禁食禁水方案能影响患儿术前胃液pH值［SMD=0.07,95%CI(-0.09,0.23),P>0.05］。结论缩短先天性心脏病患儿择期手术术前禁食水时间的方案是安全的，效果优于传统禁食水方案。
Objective To assess the clinical effect and safety of shortening preoperative fasting and water deprivation in selective surgical children with congenital heart disease.Methods We systematic searched CNKI,VIP,WANFANG,and PubMed,and screened the eligible study according to the inclusion and exclusion criteria.RevMan5.3software was used for meta-analysis.Results5studies involving1320children were included.Meta-analysis found that less preoperative crying and hunger(RR=0.31,95%CI(0.14,0.69),p<0.01),hypoglycemia(RR=0.38,95%CI(0.20,0.73),p<0.01),vomit and aspiration during the surgery(RR=0.42,95%CI(0.25,0.70),p<0.01).No evidence showed that the new program would impact preoperative gastric pH(SMD=0.07,95%CI(-0.09,0.23),P>0.05).Conclusion Shortening preoperative fasting and water deprivation in selective surgical children with congenital heart disease was safe,and the effort was better than traditional programs.
作者
李晓琴
赵佩群
姜云翰
XiaoQin Li;PeiQun Zhao;YunHan Jiang(Division of Cardiovascular Surgery,XinQiao Hospital,Third Military Medical University,Chongqing,400037,China)
出处
《世界中医药》
CAS
2017年第A02期66-68,共3页
World Chinese Medicine
关键词
儿童
择期手术
术前
禁食禁饮
先天性心脏病
META分析
Children
Selective surgery
Preoperative
Fasting and water deprivation
Congenital heart disease
Meta-analysis
