术中压疮影响因素的Meta分析

A meta-analysis of influencing factors of intraoperative pressure sores

目的 探讨中国住院成人患者术中压疮发生的主要危险因素.方法 利用Meta分析的方法分析国内11篇关于住院成人患者术中压疮的研究文献,累计病例726例,对照10 570例.根据齐性检验结果采用不同模型计算各危险因素合并比值比（OR）及其95％可信区间（95％CD模型.结果 术中压疮发生的各独立危险因素的OR值及其95％CI分别为：年龄2.433（1.696～4.043）;手术时间1.921（1.113～3.121）;空腹血糖1.801（1.010～3.007）;侧卧位体位2.205（1.369～4.407）;体外循环4.230（2.210～6.093）.结论 高龄、手术时间长、空腹血糖异常、侧卧位体住、体外循环是成年住院患者出现术中压疮的主要危险因素.

Objective To investigate the major risk factor of intraoperative pressure sores among adult inpatients in our country to provide the basis for the prevention and nursing work in future. Methods Eleven domestic research literatures about intraoperative pressure sores in adult inpatients were analyzed by using the meta-analysis method. There were cumulative 726 cases and 10 570 control cases. According to the homogeneity test results, the different models were adopted to calculate the merge odd ratio （OR） of various risk factors and their 95% confidence interval（95%CI）. Results The OR values and 95%CI of the independent risk factors of intraoperative pressure sores occurrence were age 2. 433 （1. 696- 4. 043）; operation time 1. 921 （1. 113- 3. 121） ;fasting plasma glucose 1. 801 （1. 010 - 3. 007） ; lateral position 2. 205 （1. 369 - 1. 369）; extracorporeal circulation 4. 230 （2. 210-6. 093）. Conclusion Advanced age,long operation time,fasting glucose abnormalities,lateral position,extracorporeal circulation are major risk factors for intraoperative pressure sores occurrence in adult inpatients.