负压封闭引流治疗糖尿病足溃疡疗效的Meta分析
Meta Analysis of Effectiveness of Vacuum Sealing Drainage in the Treatment of Diabetic Foot Ulcer
-
摘要: 目的 从循证医学角度荟萃分析负压封闭引流治疗糖尿病足溃疡的有效性和经济性,为临床决策与实践提供可靠性的证据.方法 计算机检索2016年12月前全文发表在国内期刊杂志上的随机对照实验,筛选出符合纳入标准的文献并追踪相关参考文献,采用Cochrane协作网的文献质量标准对文献质量进行评价,并用Revman5.3软件进行Meta分析.结果 共4篇文献符合纳入标准但总体质量为中等,负压封闭引流有利于缩短患者伤口愈合时间,合并效应量WMD=-16.95,95%CI为[-17.59,-16.31],P<0.00001,但患者伤口愈合时间的漏斗图圆点不对称,考虑存在发表性偏倚.结论 负压封闭引流治疗糖尿病足溃疡的临床疗效优于其他治疗方法,但由于一定偏倚因素的影响,研究结果未来仍有待于更高质量证据的支持.Abstract: Objective To quantitatively analyze the effectiveness and expense of VSD in diabetic foot ulcer and provide the reliable evidence for clinical decision and practice bu using the Evidence-Based Medicine methods.Methods We searched randomized controlled trials that advertised in magazines or journals of china that before December of 2016 in CNKI, CBM, VIP and Wan Fang Database, and selected articles that conformed to inclusion-standard and the references were also retrieved, and then evaluated the quality of the articles by the quality evaluation standard of Cochrane collaboration, meta-analysis was performed by software Revman5.3.Results Four articles were included and the general quality was moderate;meta-analysis showed that the effect and expense of VSD was superior to other interventions in the treatment of diabetic foot ulcer;but the unsymmetrical funnel plot suggested the existence of publication bias. Conclusions In the treatment of diabetic foot ulcer, the effect and expense of VSD is superior to other interventions,deserves to expand and apply in hospitals,but due to the existence of publication bias,the meta-analysis results need more reliable evidences to support in the future.
-
Key words:
- Vacuum sealing drainage /
- Diabetic foot /
- Ulcer /
- Meta-analysis
-
[1]张春兰,张笑燕.负压封闭引流技术在糖尿病足溃疡中的应用现状[J].护理实践与研究,2014,11(2):19-20. [2]丁莉,曾誌復,官常荣,等.糖尿病足溃疡患者不同程度感染的临床治疗方案分析[J].中华医院感染学杂志,2016,26(9):1982-2001. [3]周晗磊,有传刚,韩春茂.糖尿病足溃疡的营养支持[J].中华糖尿病杂志2016,8(12):767-769. [4]陈永翀,弥伟,刘江,等.MEBO治疗5级糖尿病足溃疡临床疗效观察[J].中国烧伤创疡杂志,2015,26(1):58-66. [5]刘宇,徐刚,刘宣.超声清创术联合封闭负压引流术在糖尿病足溃疡中的应用[J].中国老年学杂志,2016,36(23):5942-5944. [6]施劭锋,苏广瑞,林日昌,等.超声清创术联合简易负压封闭引流技术在糖尿病足溃疡中的应用[J].白求恩医学杂志,2016,14(2):186-188. [7]王志伟.负压治疗技术的应用研究进展[J].中国煤炭工业医学杂志,2012,15(12):2072-2074. [8] 王家良.循证医学[M].北京:人民卫生出版社,2013:73-99. [9]关小宏,李宝军,高歌,等.持续负压封闭引流技术在高龄糖尿病足患者治疗中的应用研究[J].中华损伤与修复杂志,2015,10(6):515-516. [10]喻自峰,方志辉.封闭式负压引流在糖尿病足治疗中应用效果观察[J].中国临床保健杂志,2013,16(3):309-310. [11]韩维鑫,张明谏,李小兵,等.负压封闭引流技术治疗糖尿病足溃疡的临床分析[J].中国现代医药杂志,2015,17(5):62-63. [12]许丽华,赵胜元,胡丽格,等.负压封闭引流结合植皮术在糖尿病足溃疡治疗中的临床疗效分析[J].大家健康杂志,2016,10(12):2.
点击查看大图
计量
- 文章访问数: 2234
- HTML全文浏览量: 793
- PDF下载量: 211
- 被引次数: 0