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白天和夜间尾切除术的结果:系统性审查和元分析

Lifang Shen¹, Liangfeng Zhang, Huili Shi

¹Department of Surgery, Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University, Huzhou City, Zhejiang Province, China.

Surgical laparoscopy, endoscopy & percutaneous techniques

|August 26, 2024

概括

尾切除手术的时间,无论是白天还是晚上,都不会显著影响患者的死亡率,住院时间或并发症等结果. 标准化护理确保无论操作时间如何,都能得到一致的结果.

科学领域:

手术紧急情况管理
临床结果研究研究
相对的有效性比较

背景情况:

急性尾炎是一种常见的手术紧急情况,需要及时干预.
尾切除术是标准的治疗方法,而腹腔镜治疗方法越来越受欢迎.
尾切除术的最佳时间及其对结果的影响仍在调查中.

研究的目的:

评估尾切除术的白天时间 (白天和夜晚) 是否会影响临床结果.
根据尾切除手术的时间来比较患者的结果.

主要方法:

按照PRISMA指南进行系统审查和元分析.
搜索了ScienceDirect,Medline和谷歌学者在2023年6月之前发表的研究.
包括前性和后性研究,将尾切除术分为白天或夜间,并使用随机效应模型评估结果.

主要成果:

分析了12项研究 (19,183名患者) 的数据,其中9项用于元分析.
在白天和夜间尾切除术之间,死亡率 (RR 0.44),住院 (WMD -0.02) 或并发症率 (RR 0.96) 没有显著差异.
患者的基线特征相似,但症状持续时间和尾存在的例外.

结论:

尾切除时间 (白天与夜晚) 并没有显著影响临床结果.
外科医生因素 (可用性,疲劳) 和患者的严重程度似乎对手术结果的影响很小.
标准化协议和术后护理对于确保一致的结果至关重要.

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