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抗菌骨水泥治疗糖尿病足皮肤创面感染的有效性的荟萃分析。

A meta-analysis of the effectiveness of antibacterial bone cement in the treatment of diabetic foot skin wound infections.

机构信息

Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China.

Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Int Wound J. 2024 Mar;21(3):e14487. doi: 10.1111/iwj.14487. Epub 2023 Nov 16.

Abstract

A meta-analysis research was implemented to appraise the effect of antibiotic bone cement (ABC) in treating infected diabetic foot wounds (IDFWs). Inclusive literature research till April 2023 was done and 1237 interconnected researches were revised. The 15 selected researches enclosed 895 IDFWs persons were in the utilized researchers' starting point, 449 of them were utilizing ABC, and 446 were in the control group. Odds ratio and 95% confidence intervals were utilized to appraise the consequence of ABC in treating IDFWs by the contentious approach and a fixed or random model. ABC had significantly lower wound healing time (MD, -9.83; 95% CI, -12.45--7.20, p < 0.001), and time to bacterial conversion of the wound (MD, -7.30; 95% CI, -10.38--4.32, p < 0.001) compared to control in IDFWs persons. However, caution needs to be taken when interacting with its values since there was a low sample size of most of the chosen research found for the comparisons in the meta-analysis.

摘要

一项荟萃分析研究评估了抗生素骨水泥(ABC)治疗感染性糖尿病足创面(IDFW)的效果。对截至 2023 年 4 月的相关文献进行了全面检索,并对 1237 项相关研究进行了评估。15 项入选研究共纳入 895 例 IDFW 患者,其中 449 例使用 ABC,446 例为对照组。采用争议性方法和固定或随机模型,通过优势比和 95%置信区间评估 ABC 治疗 IDFW 的效果。与对照组相比,ABC 组患者的创面愈合时间(MD,-9.83;95%CI,-12.45--7.20,p<0.001)和创面细菌转化时间(MD,-7.30;95%CI,-10.38--4.32,p<0.001)均显著缩短。然而,在与这些数值交互时需要谨慎,因为在荟萃分析的比较中,大多数选定研究的样本量都很小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebb1/10898415/f156f670245c/IWJ-21-e14487-g002.jpg

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