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封闭切口负压伤口治疗对动脉手术腹股沟手术部位感染的伤口辅料作用:荟萃分析。

The wound adjuncts effect of closed incision negative pressure wound therapy on stopping groin surgical site wound infection in arterial surgery: A meta-analysis.

机构信息

Department of Vascular Hernia Surgery, Affiliated Hospital of Shaoxing University, Zhejiang, China.

出版信息

Int Wound J. 2023 Sep;20(7):2726-2734. doi: 10.1111/iwj.14146. Epub 2023 Mar 28.

Abstract

A meta-analysis study was conducted to assess the influence of the wound adjuncts therapy of closed incision negative pressure wound therapy (ciNPWT) on stopping groin site wound infection (SWSI) in arterial surgery. A comprehensive literature examination till January 2023 was implemented and 2186 linked studies were appraised. The picked studies contained 2133 subjects with groin surgical wounds of arterial surgery in the picked studies' baseline, 1043 of them were using ciNPWT, and 1090 were using standard care. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of the wound adjuncts therapy of ciNPWT on stopping groin SWSI in arterial surgery by the dichotomous and continuous styles and a fixed or random model. The ciNPWT had a significantly lower SWSI (OR, 0.42; 95% CI, 0.33-0.55, P < .001), superficial SWSI (OR, 0.46; 95% CI, 0.33-0.66, P < .001), and deep SWSI (OR, 0.39; 95% CI, 0.25-0.63, P < .001) compared with the standard care in groin surgical wound of arterial surgery. The ciNPWT had a significantly, lower SWSI, superficial SWSI, and deep SWSI compared with the standard care in groin surgical wounds of arterial surgery. Although precautions should be taken when commerce with the consequences because some of the picked studies for this meta-analysis was with low sample sizes.

摘要

一项荟萃分析研究评估了闭合切口负压伤口治疗(ciNPWT)的伤口辅助治疗对动脉手术腹股沟部位伤口感染(SWSI)的影响。对截至 2023 年 1 月的全面文献进行了检查,并评估了 2186 项相关研究。入选研究包含了 2133 名动脉外科腹股沟手术伤口的患者,在入选研究的基线中,1043 名患者使用 ciNPWT,1090 名患者使用标准护理。采用二项式和连续式以及固定或随机模型,计算 ciNPWT 对动脉外科腹股沟 SWSI 停止的伤口辅助治疗的结果,使用比值比(OR)和 95%置信区间(CI)。ciNPWT 显著降低了 SWSI(OR,0.42;95%CI,0.33-0.55,P < .001)、浅表 SWSI(OR,0.46;95%CI,0.33-0.66,P < .001)和深部 SWSI(OR,0.39;95%CI,0.25-0.63,P < .001)与动脉外科腹股沟手术伤口的标准护理相比。与标准护理相比,ciNPWT 显著降低了动脉外科腹股沟手术伤口的 SWSI、浅表 SWSI 和深部 SWSI。尽管由于该荟萃分析的一些入选研究样本量较小,在解释结果时应谨慎,但 ciNPWT 与标准护理相比,显著降低了动脉外科腹股沟手术伤口的 SWSI、浅表 SWSI 和深部 SWSI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c238/10410315/d1263ed5d6b5/IWJ-20-2726-g003.jpg

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