中药熏洗对肛周脓肿术后创面愈合及并发症影响的Meta分析

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AbstractObjective:Tosystematicallevaluate theeffectsoftraditionalChinese medicinefumigationandwashingonwound healing andthencidenceofomplicationsafterperanalabscesurgery,andtoprovideevidence-basedmedicalbasisforcliicalpractice. Methods:RandomizedcontrolldtrialsrelatedtothetreatmentofpostoperativewoundsofperianalabscesswithtraditionalChinese medicinefumigationandwashing wereretrievedfromChineseandEnglishdatabasessuchasCNKI,WanFang Data,VIP,CBM, PubMed,Webofcience,andCochaneLibrary.TheretrievalperiodwasfromtheestablishmentofthedatabasetoApril1,25.he CochraneRiskofBiasAssessmentToolwasusedtoevaluatethequaltyof theincludedliterature.RevMan5.4software wasused for Meta-analysis.Resuts:Atotalof1andomedontrolldtialswereicuedivolving45patients.Teresultsoftheetaaalyis showedthatcomparedwithconventionalcare,traditionalChinesemedicinefumigationandwashingcouldsignificantly increasethetotal effective rate of treatment(RR 1.14,95%CI 1.10-1.18, P<0.00001 ),shorten the wound healing time(MD=-3.63,95%CI-4.01--3.25, P< 0.000 O1),reduced the incidence of postoperative complications (RR=0.24, 95% CI 0.15-0.38, P<0.000 O1),and significantly improved postoperative pain in patients(MD =-0.74,95% CI—1.22-—0.26, P=0.003 ).Conclusion:Traditional Chinese medicine fumigation and washingcouldinceasetetotaletiveatefoundtreatmentafteperianalabssurgery,sortenteoundaliiduce the incidence of postoperative complications,and relieve postoperative pain.
Keywordstraditional Cinese medicinefumigationandwashing;perianalabcess;woundhealing;postoperativecomplicatios;Meta analysis;evidence-based nursing
摘要目的:系统评价中药熏洗对肛周脓肿术后创面愈合及并发症发生率的影响,为临床实践提供循证医学依据。(剩余9209字)