[1]何玉洁,刘晓伟,黄丽霞.止血带在踝关节骨折切开复位内固定术中应用价值的Meta分析[J].中医正骨,2024,36(08):41-45.
 HE Yujie,LIU Xiaowei,HUANG Lixia.Clinical application value of tourniquet in open reduction and internal fixation of ankle fractures:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):41-45.
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止血带在踝关节骨折切开复位内固定术中应用价值的Meta分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年08期
页码:
41-45
栏目:
文献研究
出版日期:
2024-08-20

文章信息/Info

Title:
Clinical application value of tourniquet in open reduction and internal fixation of ankle fractures:a meta-analysis
作者:
何玉洁刘晓伟黄丽霞
佛山市中医院,广东 佛山 528000
Author(s):
HE YujieLIU XiaoweiHUANG Lixia
Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China
关键词:
踝部骨折 止血带 骨折固定术 专题Meta分析
摘要:
目的:系统评价止血带在踝关节骨折切开复位内固定术中的应用价值。方法:应用计算机检索中国知网、万方数据库、维普网、中国生物医学文献服务系统、PubMed、Cochrane Library、Web of Science和Embase中有关踝关节骨折切开复位内固定术中使用止血带的随机对照试验文献,检索时限均为建库至2024年4月。试验组术中使用止血带,对照组术中未使用止血带。采用Cochrane系统评价手册中的偏倚风险评估工具对纳入研究的文献进行质量评价,采用RevMan4.3软件进行Meta分析。结果:共检索到53篇文献,经筛选后最终纳入6篇文献,涉及1347例患者,其中试验组744例、对照组603例。Meta分析结果显示,试验组的手术时间短于对照组[MD=-6.80,95%CI(-12.14,-1.46),P=0.013],疼痛视觉模拟量表评分高于对照组[MD=1.01,95%CI(0.46,1.57),P=0.000],踝关节活动度小于对照组[MD=-5.25,95%CI(-9.61,-0.89),P=0.018],下肢深静脉血栓发生率高于对照组[RR=6.34,95%CI(1.45,27.79),P=0.014],2组住院时间、切口感染发生率、切口延迟愈合或不愈合发生率的组间差异均无统计学意义[MD=1.88,95%CI(-0.48,4.23),P=0.118; RR=1.37,95%CI(0.97,1.94),P=0.074; RR=0.68,95%CI(0.39,1.19),P=0.174]。结论:现有的证据表明,在踝关节骨折切开复位内固定术中使用止血带可以缩短手术时间,但同时可能会导致下肢深静脉血栓形成的风险增高、术后疼痛加重、踝关节活动范围减小。

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备注/Memo

备注/Memo:
通讯作者:黄丽霞 E-mail:779190406@qq.com
更新日期/Last Update: 1900-01-01