Volume 23 Issue 1
Jan.  2025
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LIU Jie, HAN Peng, SUI Fang, YAN Jinfeng, ZHANG Xiping, HOU Huan, BI Ying. Meta-analysis of preoperative oral carbohydrate effects in patients with thyroidectomy[J]. Chinese Journal of General Practice, 2025, 23(1): 143-147. doi: 10.16766/j.cnki.issn.1674-4152.003854
Citation: LIU Jie, HAN Peng, SUI Fang, YAN Jinfeng, ZHANG Xiping, HOU Huan, BI Ying. Meta-analysis of preoperative oral carbohydrate effects in patients with thyroidectomy[J]. Chinese Journal of General Practice, 2025, 23(1): 143-147. doi: 10.16766/j.cnki.issn.1674-4152.003854
shu

Meta-analysis of preoperative oral carbohydrate effects in patients with thyroidectomy

doi: 10.16766/j.cnki.issn.1674-4152.003854

  • Department of Otolaryngology Head and Neck surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi ' an, Shaanxi 710061, China

Funds:

 2022JQ-834

  • Received Date: 2024-01-22
    Available Online: 2025-02-13
    Abstract
  •   Objective   To evaluate the efficacy and safety of preoperative oral carbohydrate in patients with thyroidectomy during the perioperative period by meta-analysis, and to guide the clinical implementation.   Methods   CNKI, VIP, Wanfang, PubMed, Embase, Web of Science, Wiley Online Library, and other Chinese and English databases were used to search related RCT. The retrieval period was from the establishment of the database to March 21, 2021. According to the inclusion and exclusion criteria, literature screening and data extraction were conducted independently by two researchers. RevMan software (version 5.3) was used for literature quality evaluation and meta-analysis.   Results   Sixteen randomized controlled trials involving 1 793 patients were included in the study. The experimental group was given oral carbohydrate before surgery, while the control group was given a conventional diet before surgery, The results showed as follows: preoperative indexes of dry mouth and thirst [95% CI (-2.39, -0.47), P=0.003], postoperative indexes of nausea and vomiting [95% CI (0.41, 0.80), P=0.001], indexes of insulin resistance [95% CI (-2.73, -0.69), P=0.001], the first time to get out of bed after surgery [95% CI (-1.56, -0.87), P < 0.01], the first time to eat after surgery [95% CI (-1.07, -0.13), P=0.010], the number of hospitalization days [95% CI (-2.67, -1.55), P < 0.01], and the number of postoperative complications [95% CI (0.08, 0.32), P < 0.01], indicating that the experimental group was better than the control group (P < 0.05).   Conclusion   Compared with conventional care, preoperative oral carbohydrate is safe and beneficial in the perioperative period of patients with thyroidectomy, and has good clinical application value.

     

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    • References(30)
  • [1]
    韦伟, 李朋. 2019年第一版NCCN甲状腺恶性肿瘤治疗指南解读[J]. 临床外科杂志, 2020, 28(1): 31-34. doi: 10.3969/j.issn.1005-6483.2020.01.008

    WEI W, LI P. Interpretation of the first edition of NCCN thyroid cancer treatment guidelines in 2019[J]. Journal of Clinical Surgery, 2020, 28(1): 31-34. doi: 10.3969/j.issn.1005-6483.2020.01.008
    [2]
    ONALAN E, ANDSOY I I, ERSOY O F. The Effect of preoperative oral carbohydrate administration on insulin resistance and comfort level in patients undergoing surgery[J]. J Perianesth Nurs, 2019, 34(3): 539-550. doi: 10.1016/j.jopan.2018.07.007
    [3]
    VLAD O, CATALIN B, MIHAI H, et al. Enhanced recovery after surgery (ERAS) protocols in patients undergoing radical cystectomy with ileal urinary diversions: a randomized controlled trial[J]. Medicine (Baltimore), 2020, 99(27): e20902. DOI: 10.1097/MD.0000000000020902.
    [4]
    SUH S, HETZEL E, ALTER-TROILO K, et al. The influence of preoperative carbohydrate loading on postoperative outcomes in bariatric surgery patients: a randomized, controlled trial[J]. Surg Obes Relat Dis, 2021, 17(8): 1480-1488. doi: 10.1016/j.soard.2021.04.014
    [5]
    中国抗癌协会头颈肿瘤专业委员会, 中国抗癌协会甲状腺癌专业委员会. 甲状腺外科ERAS中国专家共识(2018版)[J]. 中国肿瘤, 2019, 28(1): 26-38. doi: 10.3969/j.issn.1674-4136.2019.01.006

    Chinese Association of Head and Neck Oncology, Chinese Association of Thyroid Oncology. Expert Consensus on Enhanced Recovery After Surgery (ERAS) in Thyroid Surgery (2018 Edition)[J]. China Cancer, 2019, 28(1): 26-38. doi: 10.3969/j.issn.1674-4136.2019.01.006
    [6]
    安常明, 李正江. 中国甲状腺ERAS的实施和争议[J]. 肿瘤预防与治疗, 2020, 33(10): 817-820. doi: 10.3969/j.issn.1674-0904.2020.10.001

    AN C M, LI Z J. Implementation of and controversy over ERAS in thyroid surgery in China[J]. Journal of Cancer Control and Treatment, 2020, 33(10): 817-820. doi: 10.3969/j.issn.1674-0904.2020.10.001
    [7]
    CUMPSTON M, LI T, PAGE M J, et al. Updated guidance for trusted systematic reviews: a new edition of the cochrane handbook for systematic reviews of interventions[J]. Cochrane Database Syst Rev, 2019, 10(10): 1-3.
    [8]
    叶奎, 曲鑫, 王新超, 等. 快速康复外科在甲状腺手术中的应用[J]. 广东医学, 2012, 33(19): 2972-2974. doi: 10.3969/j.issn.1001-9448.2012.19.040

    YE K, QU X, WANG X C, et al. Application of rapid rehabilitation surgery in thyroid surgery[J]. Guangdong Medical Journal, 2012, 33(19): 2972-2974. doi: 10.3969/j.issn.1001-9448.2012.19.040
    [9]
    柯丹纯, 叶小惠, 黄素华, 等. 甲状腺良性肿瘤手术患者应用快速康复外科理念结合临床护理路径模式的效果观察[J]. 海南医学, 2017, 28(9): 1536-1539. doi: 10.3969/j.issn.1003-6350.2017.09.059

    KE D C, YE X H, HUANG S H, et al. Effect observation of rapid rehabilitation surgery concept combined with clinical nursing pathway model in patients with thyroid benign tumor surgery[J]. Hainan Medical Journal, 2017, 28(9): 1536-1539. doi: 10.3969/j.issn.1003-6350.2017.09.059
    [10]
    吕卓辰, 熊晨君, 严佶祺, 等. 实施加速康复外科麻醉管理对甲状腺手术应激水平的影响[J]. 临床麻醉学杂志, 2017, 33(8): 733-737. doi: 10.3969/j.issn.1004-5805.2017.08.001

    LYU Z C, XIONG C J, YAN J Q, et al. Effect of anesthesia management in accelerated rehabilitation surgery on stress level of thyroid surgery[J]. Journal of Clinical Anesthesiology, 2017, 33(8): 733-737. doi: 10.3969/j.issn.1004-5805.2017.08.001
    [11]
    周学萍. 快速康复外科护理干预对甲状腺癌根治术患者康复效果的影响[J]. 中国校医, 2019, 33(8): 626-627.

    ZHOU X P. Effect of rapid rehabilitation surgical nursing intervention on the rehabilitation effect of patients undergoing radical thyroidectomy[J]. Chinese Journal of School Doctor, 2019, 33(8): 626-627.
    [12]
    陈丽君. 临床护理路径模式联合快速康复外科理念在甲状腺良性肿瘤手术中的应用[J]. 黑龙江医学, 2020, 44(2): 269-271. doi: 10.3969/j.issn.1004-5775.2020.02.055

    CHEN L J. Application of Clinical Nursing Pathway Model Combined with Rapid Rehabilitation Surgery in the Operation of Be-nign Thyroid Tumors[J]. Heilongjiang Medical Journal, 2020, 44(2): 269-271. doi: 10.3969/j.issn.1004-5775.2020.02.055
    [13]
    何永芬, 蔡晓, 梁洪敏. 甲状腺癌患者围术期实施快速康复外科护理的效果分析[J]. 中国医药科学, 2020, 10(7): 115-118. doi: 10.3969/j.issn.2095-0616.2020.07.032

    HE Y F, CAI X, LIANG H M. Effect analysis of perioperative rapid rehabilitation nursing for thyroid cancer patients[J]. China Medicine and Pharmacy, 2020, 10(7): 115-118. doi: 10.3969/j.issn.2095-0616.2020.07.032
    [14]
    王轶鹤, 薛文莉. 快速康复外科护理干预在甲状腺癌围手术期的临床应用[J]. 中国肿瘤临床与康复, 2020, 27(7): 889-892.

    WANG Y H, XUE W L. Clinical application of perioperative nursing care in fast-track surgery for thyroid cancer[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2020, 27(7): 889-892.
    [15]
    柯丹纯, 叶小惠, 黄素华, 等. FTS-CNP护理模式在甲状腺良性肿瘤手术患者围术期的应用研究[J]. 中国当代医药, 2017, 24(9): 173-176. doi: 10.3969/j.issn.1674-4721.2017.09.054

    KE D C, YE X H, HUANG S H, et al. Application of FTS-CNP nursing model in perioperative period of thyroid benign tumor patients[J]. China Modern Medicine, 2017, 24(9): 173-176. doi: 10.3969/j.issn.1674-4721.2017.09.054
    [16]
    吴瑞云, 黄艳君, 魏杏梅. 基于快速康复理念下术前进食方案改良在甲状腺手术患者中应用研究[J]. 医药前沿, 2020, 10(13): 160-161.

    WU R Y, HUANG Y J, WEI X M. Application of improved preoperative feeding regimen in thyroid surgery patients based on the concept of rapid recovery[J]. Journal of Frontiers of Medicine, 2020, 10(13): 160-161.
    [17]
    邢唯杰, 胡雁. 甲状腺良性肿瘤患者术前禁食禁饮的研究[J]. 中国实用护理杂志, 2007, 23(10): 27-29. doi: 10.3760/cma.j.issn.1672-7088.2007.10.014

    XING W J, HU Y. Preoperative fasting and abstinence in patients with benign thyroid tumors[J]. Chinese Journal of Practical Nursing, 2007, 23(10): 27-29. doi: 10.3760/cma.j.issn.1672-7088.2007.10.014
    [18]
    朱赫, 刘明, 熊君宇. 术前禁饮时间对良性甲状腺部分切除手术患者的影响[J]. 江苏医药, 2016, 42(18): 2051-2052.

    ZHU H, LIU M, XIONG J Y. Effect of preoperative abstinence time on benign partial thyroidectomy patients[J]. Jiangsu Medical Journal, 2016, 42(18): 2051-2052.
    [19]
    董丽明, 李寅辉, 李莉. 术前口服碳水化合物在甲状腺乳头状癌手术中的效果分析[J]. 新疆医学, 2019, 49(9): 854-856.

    DONG L M, LI Y H, LI L. Effect of oral carbohydrate on thyroid papillary carcinoma[J]. Xinjiang Medical Journal, 2019, 49(9): 854-856.
    [20]
    DOO A R, HWANG H, KI M J, et al. Effects of preoperative oral carbohydrate administration on patient well-being and satisfaction in thyroid surgery[J]. Korean J Anesthesiol, 2018, 71(5): 394-400. doi: 10.4097/kja.d.18.27143
    [21]
    LAUWICK S M, KABA A, MAWEJA S, et al. Effects of oral preoperative carbohydrate on early postoperative outcome after thyroidectomy[J]. Acta Anaesthesiol Belg, 2009, 60(2): 67-73.
    [22]
    ÇAKAR E, YILMAZ E, ÇAKAR E, et al. The Effect of preoperative oral carbohydrate solution intake on patient comfort: a randomized controlled study[J]. J Perianesth Nurs, 2017, 32(6): 589-599. doi: 10.1016/j.jopan.2016.03.008
    [23]
    ITOU K, FUKUYAMA T, SASABUCHI Y, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial[J]. J Anesth, 2012, 26(1): 20-27. doi: 10.1007/s00540-011-1261-x
    [24]
    王红梅, BOSOMTWE Samuel, 杜金磊, 等. 经口气管插管患者流涎症影响因素和干预措施的研究进展[J]. 中华全科医学, 2021, 19(12): 2102-2105. doi: 10.16766/j.cnki.issn.1674-4152.002247

    WANG H M, BOSOMTWE Samuel, DU J L, et al. Research progress of influencing factors and intervention measures of salivation in patients with oral catheterization[J]. Chinese Journal of General Practice, 2021, 19(12): 2102-2105. doi: 10.16766/j.cnki.issn.1674-4152.002247
    [25]
    魏世雄. 甲状腺切除术后恶心呕吐发生现状及影响因素[J]. 医学理论与实践, 2021, 34(18): 3185-3186.

    WEI S X. Occurrence and influencing factors of nausea and vomiting after thyroidectomy[J]. The Journal of Medical Theory and Practice, 2021, 34(18): 3185-3186.
    [26]
    VAN SLYCKE S, VAN DEN HEEDE K, BRUGGEMAN N, et al. Risk factors for postoperative morbidity after thyroid surgery in a Prospective cohort of 1 500 patients[J]. Int J Surg, 2021, 88(2): 105922. DOI: 10.1016/j.ijsu.
    [27]
    李精健, 苟菊香, 周倩, 等. 阳光心晴管理模式在甲状腺癌患者中的管理和应用[J]. 现代预防医学, 2019, 46(20): 3822-3825, 3835.

    LI J J, GOU J X, ZHOU Q, et al. Management and application of sunshine heart sunshine management mode in thyroid cancer patients[J]. Modern Preventive Medicine, 2019, 46(20): 3822-3825, 3835.
    [28]
    ZHENG M, LUO Y, LIN W, et al. Comparing effects of continuous glucose monitoring systems (CGMs) and self-monitoring of blood glucose (SMBG) amongst adults with type 2 diabetes mellitus: a systematic review protocol[J]. Syst Rev, 2020, 9(1): 120-125. doi: 10.1186/s13643-020-01386-7
    [29]
    王娴, 潘研, 巴明玉, 等. 2型糖尿病患者膳食因素与平均血糖波动幅度的关联性研究[J]. 中华全科医学, 2022, 20(10): 1691-1694, 1796. doi: 10.16766/j.cnki.issn.1674-4152.002681

    WANG X, PAN Y, BA M Y, et al. Correlation between dietary factors and mean blood glucose fluctuation in type 2 diabetes mellitus[J]. Chinese Journal of General Practice, 2022, 20(10): 1691-1694, 1796. doi: 10.16766/j.cnki.issn.1674-4152.002681
    [30]
    赵紫涵, 赵诣深, 孙辉. 我国甲状腺术中喉返神经损伤与保护现状[J]. 中国实用外科杂志, 2019, 39(3): 271-274.

    ZHAO Z H, ZHAO Y S, SUN H. Current status of recurrent laryngeal nerve injury and protection during thyroid surgery in China[J]. Chinese Journal of Practical Surgery, 2019, 39(3): 271-274.
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