预防性负压伤口治疗在腹部手术病人中应用效果的Meta分析
AbstractObjective:Tosystematicallyevaluatetheefectofpreventivenegativepresure woundtherapyinpatientsundergoing abdominalsurgery.Methods:Randomizedcontroledtrials(RCTs)ontheefectofpreventivenegativepresure Woundtherapyand standarddressingsinpatientsudergoingabdominalsurgerywereretrievedfromPubMed,WebofSience,EMbase,theCoane Library,CIALKI,WanFangatabse,CB,licalialsndneseCcalTriaegistryCiC)frothtablstf databasestoMay31,O24.ThCchaneriskof-biastolwasusedtoevaluatethequaltyoftheliteratureandRevMan5.3software wasusedforstatisticalaalysis.Results:Atotalof2ricleswereicluded,volving3O5patient.Compardwithsandarddsing, preventive negative pressure wound therapy can reduce the incidence of surgical site infection(OR °leddash 0.56,95%C10.46-0.69, Plt;0.001 ) and seroma(OR =0.45,95%0.29-0.69,Plt;0.001) in patients undergoing abdominal surgery. However,there was no statistically significantdiferenceintheincidenceofincisiondehiscence,hematoma,andlengthofstaybetwen thetwogroupsof patints.Conclusions:Existing evidenceshowes that preventive negative presure Wound therapycouldreducethe incidenceof surgicalsite nfection in patients undergoing abdominal surgery. ......
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