心脏术后肺部感染危险因素Meta分析
作者:
作者单位:

1.成都中医药大学护理学院, 四川 成都 610072;2.成都中医药大学附属医院院办公室, 四川 成都 610075

作者简介:

通讯作者:

蒋运兰  E-mail: 18980880152@163.com

中图分类号:

R654.2R563.1

基金项目:

国家重点研发计划课题(2020YFC2003104)


Risk factors for pulmonary infection after cardiac surgery: a Meta-analysis
Author:
Affiliation:

1.School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China;2.Hospital Office, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China

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    摘要:

    目的 系统评价心脏术后肺部感染的影响因素。 方法 计算机检索PubMed、Embase、Web of Science、The Cochrane Library、CBM、Wanfang、CNKI、VIP数据库文献。检索时间从建库至2022年11月22日, 应用RevMan 5.4和Stata 15.0软件进行Meta分析。 结果 共纳入20篇文献。Meta分析结果显示, 年龄(≥65岁)、机械通气时间(≥5 d)、吸烟、急性肾损伤、围手术期输血、手术时间(≥240 min)、二次开胸、氧合指数(PaO2/FiO2≤300 mmHg) 是心脏术后肺部感染的危险因素。 结论 现有证据表明, 上述8个因素均为心脏术后肺部感染的危险因素, 可为医护人员对其预防和治疗提供理论依据。

    Abstract:

    Objective To systematically evaluate the influencing factors for pulmonary infection after cardiac surgery. Methods Literatures were retrieved from PubMed, Embase, Web of Science, the Cochrane Library, CBM, Wanfang, CNKI and VIP databases. The retrieval time was from the establishment of databases to November 22, 2022. Meta-analysis was performed with RevMan 5.4 and Stata 15.0 softwares. Results A total of 20 literatures were included in the analysis. Meta-analysis showed that age (≥ 65 years), mechanical ventilation time (≥ 5 days), smoking, acute renal damage, perioperative blood transfusion, operation time (≥ 240 minutes), secondary thoracotomy, and oxygenation index (PaO2/FiO2 ≤ 300 mmHg) were risk factors for postoperative pulmonary infection. Conclusion The existing evidence shows that all of the above 8 factors are risk factors for pulmonary infection after cardiac surgery, which can provide a theoretical basis for health care workers to prevent and treat infection.

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引用本文

刘雅鑫,蒋运兰,李洁.心脏术后肺部感染危险因素Meta分析[J]. 中国感染控制杂志,2024,23(2):189-194. DOI:10.12138/j. issn.1671-9638.20244278.
Ya-xin LIU, Yun-lan JIANG, Jie LI. Risk factors for pulmonary infection after cardiac surgery: a Meta-analysis[J]. Chin J Infect Control, 2024,23(2):189-194. DOI:10.12138/j. issn.1671-9638.20244278.

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  • 收稿日期:2023-03-29
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  • 在线发布日期: 2024-04-28
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