中西医结合临床护理用于粘连性肠梗阻治疗的Meta分析

Meta-analysis of clinical nursing integrated traditional Chinese and Western medicine in the treatment of adhesive intestinal obstruction

目的通过对比中西医结合护理与常规护理在粘连性肠梗阻治疗中的总有效率,评价中西医结合护理的优势与价值。方法全面检索2016年3月31日之前的有关粘连性肠梗阻的临床随机对照试验文献,即中西医结合护理对照常规护理的RCT,使用Rev Man5.3软件进行统计学评价,以治疗总有效率作为评价指标。结果共纳入12篇RCT,参与对照试验研究的患者达965例。对总体效应进行假设检验Z=8.94,P<0.00001,结果表明观察组患者总有效率显著高于对照组患者,差异具有统计学意义(P<0.05)。结论中西医结合护理可明显提高粘连性肠梗阻的治疗总有效率。

Objective With the total effective rate comparasion of integrated traditional Chinese medicine and Western medicine with routine nursing in the treatment of adhesive intestinal obstruction, the advantages and benefits of integrated traditional Chinese and Western medicine care were evaluated. Methods The clinical RCTs of adhesive intestinal obstruction before March 31, 2016 were comprehensively searched, and the RCTs of routine nursing care were compared with those of traditional Chinese medicine and Western medicine. RevManS.3 software was used for statistical evaluation. The evaluation index was the total effective rate. Results A total of 12 articles were included in RCTs, and 965 patients participated in the control trial. The overall effect was hypothetical tested （Z=8.94, P〈0.00001）. It showed that the total effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant （P〈0.05）. Conclusion Combination of traditional Chinese and Western medicine can significantly improve the total effective rate of patients with adhesive intestinal obstruction.