围手术期保温措施对患者手术部位感染影响的荟萃分析

发布时间：2018-03-03 03:14

本文选题：保温　切入点：手术部位感染　出处：《中华医院感染学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的系统评价围手术期保温措施对预防手术部位感染的作用,为预防与控制手术部位感染提供循证依据。方法计算机检索Pubmed、Cochrane Library、EMBASE、相关期刊论文、万方-医药期刊全文数据库、重庆维普全文数据库、中国生物医学文献数据库,并辅以手工检索、文献追溯等方法,收集围手术期采用保温措施的临床随机对照研究,筛选、评价文献质量并提取有效数据进行荟萃分析。结果筛选出符合纳入标准的随机对照试验9项,共2 916例患者,患者发生手术部位感染率保温组为4.3%,对照组为11.4%;荟萃分析结果表明,在围手术期采取适当的保温措施可以降低手术部位感染的发生率(OR=0.34,95%CI:0.25~0.47,P0.001)。结论围手术期采取适当的保温措施,对预防患者手术部位感染是有效的,建议围手术期采用适当的保温措施,预防轻度低体温的发生,以减少手术部位的感染。
[Abstract]:Objective to evaluate the effect of perioperative heat preservation measures on the prevention of surgical site infection, and to provide evidence based basis for prevention and control of surgical site infection. Methods Pubmedmedan Cochrane Library EMBASE, a full text database of Chinese journals, was searched by computer. Wanfang-Medical Journal Full-text Database, Chongqing Weipu Full-text Database, Chinese Biomedical Literature Database, supplemented by manual retrieval, literature tracing, etc., collected clinical randomized controlled studies with thermal insulation in perioperative period, and screened them. The quality of literature was evaluated and valid data were extracted for meta-analysis. Results 9 randomized controlled trials, including 2 916 patients, were selected. The incidence of surgical site infection in the thermal insulation group was 4.3 and that in the control group was 11.4.The results of meta-analysis showed that appropriate insulation measures during perioperative period could reduce the incidence of infection in the surgical site. Conclusion the appropriate thermal insulation measures should be taken during the perioperative period. It is effective to prevent surgical site infection. It is suggested that appropriate heat preservation measures should be taken to prevent mild hypothermia in order to reduce the infection of surgical site.
【作者单位】：华中科技大学同济医学院医药卫生管理学院;石河子大学医学院第一附属医院院内感染控制办公室;石河子大学医学院预防医学系卫生事业管理教研室;新疆生产建设兵团医院/石河子大学医学院第二附属医院;
【基金】：国家自然科学基金资助项目(71073062) 中华医院感染控制研究基金资助项目(ZHYG2014-0031)
【分类号】：R473.6

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