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

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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， P<0.001 ） and seroma（OR =0.45，95%0.29-0.69，P<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.

Keywords preventive negative pressure wound therapy；abdominal surgery；surgical site infection;Meta-analysis;evidence-based nursing

摘要目的：系统评价预防性负压伤口治疗在腹部手术病人中的应用效果。（剩余17539字）