胃癌术后手术部位感染危险因素的Meta分析
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作者单位:

1.徐州医科大学附属连云港医院感染管理科, 江苏 连云港 222002;2.徐州医科大学附属连云港医院胃肠外科, 江苏 连云港 222002

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刘菁  E-mail: 2274832501@qq.com

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+2 R619+.3]]>

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Meta-analysis on risk factors for post-operative surgical site infection in patients with gastric cancer
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Affiliation:

1.Department of Infection Management, Lianyungang Hospital Affiliated to Xuzhou Medical University, Lianyungang 222002, China;2.Department of Gastrointestinal Surgery, Lianyungang Hospital Affiliated to Xuzhou Medical University, Lianyungang 222002, China

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    摘要:

    目的 通过Meta分析了解胃癌患者发生手术部位感染(SSI)的危险因素。 方法 检索国内外相关数据库, 时间设定为从2012年11月29日—2022年11月29日, 应用RevMan 5.4软件进行Meta分析。 结果 共纳入17篇文献, 累计13953例患者, 有统计学意义的危险因素包含男性(OR=1.66)、高龄(OR=1.96)、BMI>25 kg/m2(OR=2.70)、合并糖尿病(OR=2.41)、肿瘤分期(OR=2.38)、开腹手术(OR=2.04)、手术时间(OR=3.41)、全胃切除术(OR=1.97)、围手术期输血(OR=3.71)。 结论 男性、高龄、BMI>25 kg/m2、合并糖尿病、肿瘤分期、开腹手术、手术时间、全胃切除术及围手术期输血的患者易发生SSI, 医务人员应做好相关预防工作。

    Abstract:

    Objective To analyze the risk factors for surgical site infection (SSI) in patients with gastric cancer through Meta-analysis. Methods Data from relevant databases at home and abroad from Noviber 29, 2012 to Noviber 29, 2022 were retrieved. Meta-analysis was performed using RevMan 5.4 software. Results A total of 17 articles were included, involving 13953 patients. Risk factors with statistical significance included male (OR=1.66), elderly (OR=1.96), body mass index (BMI) > 25 kg/m2 (OR=2.70), diabetes (OR=2.41), tumor stage (OR=2.38), laparotomy (OR=2.04), duration of operation (OR=3.41), total gastrectomy (OR=1.97), and peri-operative blood transfusion (OR=3.71). Conclusion Patients with the following characteristics such as male, elderly, BMI > 25 kg/m2, diabetes, tumor stage, laparotomy, duration of operation, total gastrectomy or peri-operative blood transfusion are prone to develop SSI, therefore, health care workers should pay more attention in SSI prevention.

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引用本文

周星星,刘善善,周晓敏,等.胃癌术后手术部位感染危险因素的Meta分析[J]. 中国感染控制杂志,2023,(2):181-188. DOI:10.12138/j. issn.1671-9638.20233507.
Xing-xing ZHOU, Shan-shan LIU, Xiao-min ZHOU, et al. Meta-analysis on risk factors for post-operative surgical site infection in patients with gastric cancer[J]. Chin J Infect Control, 2023,(2):181-188. DOI:10.12138/j. issn.1671-9638.20233507.

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  • 收稿日期:2022-10-20
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  • 在线发布日期: 2024-04-28
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