早期洗是否会增加手术部位感染的风险? 对11项随机对照试验的元分析
Yu Ren1, Hui Yu2,3, Zhangfu Wang4
1Department of Pharmacy, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China.
EFORT open reviews
|June 3, 2024
概括
伤口关闭后早期的术后洗是安全的,并提高了患者的满意度. 这项元分析没有发现早期洗增加了伤口感染的风险,这表明需要更新临床指南.
科学领域:
- 医学研究 医学研究
- 临床实践指南 临床实践指南
- 患者护理 患者护理
背景情况:
- 几十年来,传统医学的建议不鼓励在伤口关闭后洗.
- 现有证据表明,早期的术后洗不会增加伤口感染风险.
- 目前的临床实践很少允许早些时候洗,尽管有支持证据.
研究的目的:
- 评估早期手术后洗对伤口感染率的影响.
- 评估早期洗对其他术后并发症的影响.
- 为了确定与较早与延迟洗相关的患者满意度水平.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在主要数据库 (PubMed,EMBASE,Medline,Web of Science,Cochrane) 搜索到2022年12月.
- 分析了11项随机对照试验 (2964名患者) 使用几率比率和I2统计学对异质性的分析.
主要成果:
- 在早期和延迟的游泳群体之间,伤口感染率没有显著差异.
- 在两组中,红色,胀和伤口脱率都相似.
- 在较早游泳的群体中,血液瘤的发病率较低,患者满意度显著提高.
结论:
- 早期的术后洗与增加的伤口感染或并发症无关.
- 较早的洗显示出降低血瘤发生率和提高患者满意度的好处.
- 临床实践指南应更新,以反映支持早期洗的证据.
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