肥胖与脊柱手术部位感染的Meta分析
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R181.3+2

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河北省卫生厅重点科技研究计划(20110099)


Obesity and surgical site infection following spine surgery: a Meta-analysis
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    摘要:

    目的 探讨肥胖对脊柱手术部位感染的影响。方法 搜集肥胖与脊柱手术相关的文献,两名研究者分别独立提取数据,核对无误后应用STATA 11.0软件,采用固定效应模型或随机效应模型进行分析,获取合并OR值及其95%可信区间(95%CI)。结果 最终32篇文献纳入研究,共110 877例患者,检索到的脊柱手术文献多为胸椎与腰椎手术。肥胖者脊柱手术手术部位感染率高于正常体重者(OR=2.56,95%CI:1.95~3.36)。分层分析结果显示,白种人中肥胖者手术部位感染发生率是正常体重者的2.50倍(95%CI:1.77~3.52),亚洲人中肥胖者手术部位感染率是正常体重者的2.77倍(95%CI:1.81~4.22)。结论 在白种人与亚洲人中,肥胖者脊柱手术后更易发生手术部位感染。

    Abstract:

    Objective To explore the influence of obesity in surgical site infection(SSI) following spine surgery. Methods Literatures on relationship between obesity and spine surgery were collected. Data were extracted, checked, and analyzed with STATA 11.0 software by two researchers independently, fixed-effect model and random-effect model were used to analyze the combined OR value and its 95% confidence interval (95%CI). Results A total of 32 literatures involving 110 877 patients were included in the study. Most studies were thoracic or lumbar surgery. SSI rate in obesity group was higher than control group(OR,2.56[95%CI,1.95-3.36]). Stratified analysis result showed that incidence of infection in obese Caucasians was 2.50 times higher than that in control group(95%CI, 1.77-3.52), obese people in Asia was 2.77 times higher than that of people with normal weight(95%CI,1.81-4.22). Conclusion Among Caucasians and Asians, obese people are more likely to have SSI following spine surgery.

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杜霈, 冯忠军, 秦瑾,等.肥胖与脊柱手术部位感染的Meta分析[J]. 中国感染控制杂志,2019,18(3):213-219. DOI:10.12138/j. issn.1671-9638.20193619.
DU Pei, FENG Zhong-jun, QIN Jin, et al. Obesity and surgical site infection following spine surgery: a Meta-analysis[J]. Chin J Infect Control, 2019,18(3):213-219. DOI:10.12138/j. issn.1671-9638.20193619.

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  • 收稿日期:2019-01-29
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  • 在线发布日期: 2019-03-28
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