糖尿病对接受关节整形手术的患者的影响:元分析和系统审查
Jianhui Fan1, Junfeng Liu2, Yanlun Li1
1School of Clinical Medicine, North Sichuan Medical College, Nanchong 637000, China.
Endocrine journal
|May 21, 2025
概括
糖尿病 (DM) 增加了接受全关节整形手术 (TAA) 的患者的风险. 糖尿病患者面临更高的修复手术,感染和再入院率,影响功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 代谢疾病 代谢疾病
- 生物统计学 生物统计学
背景情况:
- 全关节整形术 (TAA) 有效治疗末期关节关节炎.
- 糖尿病 (DM) 是一种常见的并发症,但其对TAA结果的影响尚未完全理解.
研究的目的:
- 研究糖尿病对关节整形术后不良结果和并发症的影响.
- 为了比较接受TAA的糖尿病和非糖尿病患者之间的术后并发症和功能结果.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和Web of Science (2023年12月之前) 的系统文献搜索.
- 14项研究的元分析,包括20557名患者 (3847名患有DM,16710名没有).
- 纽卡斯尔-太华量表用于研究质量评估;统计数据15.1用于元分析.
主要成果:
- 与非糖尿病患者相比,糖尿病患者的复查率,术后感染率和30天再入院率更高.
- 糖尿病患者在医院住院时间较长.
- 在SF-36物理组件总结 (PCS) 得分改善方面,观察到群体之间的显著差异.
结论:
- 糖尿病与TAA后修复手术,手术部位感染和周围假肢关节感染的风险增加有关.
- 接受TAA的糖尿病患者面临更高的住院时间和30天再入院率.
- 这些发现对于外科手术期间的管理和关于糖尿病患者TAA风险的患者咨询至关重要.
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