可重复使用手术衣与一次性手术衣使用效果比较的Meta分析

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AbstractObjective：Tosystematicall evaluate theefectivenessofreusablesurgical gowns （RSG）and disposablesurgical gowns （DSG）.Methods：RCTscomparingtheefectsofDSGandRSGwereretrieved fromUpToDate，Yimaitong，CBM，VIP，WanFangData， CNKI，PubMed，WebfSience，andCochraneLibrary，TheretrievaldeadlineasfromtheestablishmentofthedatabasetoJuly25， 2024.RevMan5.3softwarewasusedforMeta-analysisResults：Atotalof15articleswere included.TheMetaanalysisresultssowed that there was no statistically significant diffrence in the incidence of bacterial culture positivity（RR =0.44 95% CI 0.15-1.28，P=0.13） and postoperative infection（RR=0.76， 95% CI 0.27- 2.08， P=0.59 ）between DSG and RSG.Compared with the control group，the observation group can reduce the positive rates of bacterial culture in the left hand（RR =0.40 ， 95% CI 0.20-0.78， P=0.00ℓ 3），right hand （RR= 0.40，95% CI 0.20-0.78， P=0.008 ），chest（RR=0.40，95%CI 0.23-0.69， P=0.001 ），right waist（RR=0.28，95%C10.13-0.57，P= 0.000 5），and left waist（RR=0.25， 95% CI 0.12-0.54， P=0.000！ 5）.Conclusions：Existing evidence suggests that there is not much diference inthebacterialculturepositivityateandpostoperativeinfectionratebetweenDSGandRSGduringsurgeryHoweverDSG hasanadvantageinbacterialculturepositivityateinvarouspartsoftegown.Itisrecommendedthatmedicalistitutiosshouldcose appropriate types ofsurgical gowns basedonactualsituations andneeds.Whenselecting materials forsurgical gowns，the purposeof Wearing and surgicalconditionsshould beconsidered，and furtherlarge-scale sampleverification is needed inthefuture.

Keywordsreusablesurgical gown;disposable surgicalgowns;bacterialculture;infection;Meta-analysis; evidence-based nursing摘要目的：系统评价可重复使用手术衣（reusable surgical gown，RSG）与一次性手术衣（disposable surgical gowns，DSG）的使用效果。（剩余10807字）