尿管拔除时间对胸腰椎术后留置尿管病人影响的Meta分析

Meta analysis: Influence of catheter removel time on patients with indwelling urinary catheter after thoracic and lumbar spine surgery

[目的]评价尿管拔除时间对胸腰椎术后留置尿管病人的影响。[方法]计算机检索CNKI、Wan Fang Data、CBM、VIP,全面收集有关胸腰椎术后留置尿管病人尿管拔除时间的文献。由两位研究者独立进行文献筛选、资料提取和评价纳入研究的方法学质量后,采用Rev Man 5.3软件进行Meta分析。[结果]共纳入6篇文献,780例病人。Meta分析结果显示:分别与术后24 h^48 h和术后48 h^72 h拔除尿管相比,术后24 h内拔除尿管可降低胸腰椎术后留置尿管病人尿路感染率,但在排尿成功率方面,差异均无统计学意义。[结论]胸腰椎术后留置尿管病人24 h内拔除尿管能有效减少尿路感染的发生,但不影响排尿成功率。

Objective: To probe into the influence of catheter removel time on patients with indwelling urinary catheter after thoracic and lumbar spine surgery. Methods: It retrieved the literatures from CNKI,Wan Fang Data,CBM and VIP about catheter removel time in patients with indwelling catheter after thoracic and lumbar spine surgery and collected them. The methods of literature selection,data extraction and evaluation were studied by 2 researchers. Then Meta analysis was carried out by using Rev Man 5. 3 software. Results: It included a total of 6 papers,779 patients. Meta analysis showed that: compared with removal of urinary catheter after 24 h ~ 48 h and 48 h ~ 72 h,24 h catheter removal could reduce urinary tract infection rate of patients with indwelling catheter after thoracic and lumbar spine surgery. But in the success rate of urination,the difference was not statistically significant. Conclusion: Catheter removel in 24 h after thoracic and lumbar spine surgery cocud effectively reduce the occurrence of urinary tract infection,but it didn't affect the success rate of urination.