术后腹部洗与单独吸血对尾炎患者术后伤口感染的影响:元分析
Haiyan Wu1, Xiujuan Chen1, Yanhong Ren1
1Department of pharmacy, People's Hospital Affiliated to Shandong First Medical University, Jinan, China.
International wound journal
|December 30, 2023
概括
这次元分析发现,在使用腹部洗与吸时,在尾切除术后预防伤口感染或腹内疹方面没有显著差异. 这两种方法在术后护理中似乎同样有效.
科学领域:
- 手术瘤学手术瘤学
- 预防传染病 预防传染病
- 胃肠道手术 胃肠道手术
背景情况:
- 关于腹部灌在预防尾切除术后的术后伤口感染 (WI) 和腹部内 (IAA) 的有效性存在争议.
- 这项研究通过比较腹部洗和吸技术来解决辩论.
研究的目的:
- 进行一项元分析,评估腹部吸和洗在尾切除术后预防术后WI和IAA的有效性.
- 评估腹部洗是否优于吸血在治疗尾切除术后的传染性并发症.
主要方法:
- 用七项临床试验的数据进行了元分析,主要是回顾性研究.
- 使用RevMan 5.3软件收集和分析数据.
- 纳入标准侧重于尾切除术患者接受吸或洗.
主要成果:
- 在腹部洗和吸组之间的术后WI率没有观察到统计学上显著的差异 (OR,1.82;95% CI,0.40,2.61;p=0.96).
- 同样,在两个治疗组之间,在术后IAA的风险上也没有发现统计学上显著的差异 (OR,1.16;95% CI,0.71,1.89;p=0.56).
结论:
- 目前的证据不支持腹部洗在尾切除术后管理术后感染性并发症时优于愿望.
- 这两种方法在该患者群体中在预防WI和IAA方面表现出相似的有效性.
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