不同清潔劑預防骨科外固定術(shù)后針道感染的網(wǎng)狀Meta分析

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Different cleansing agents for prevention of pin site infection after orthopedic external fixation：a network Meta-analysis

Abstract Objective：This study evaluated the probability of different detergents in preventing pin tract infection after orthopedic external fixation by using network Meta-analysis.Methods：Using evidence-based search strategy，PubMed，Web of Science，MedLine，CINAHL，the Cochrane Library，EMbase，CNKI and WanFang Databases were searched by computer for clinical randomized controlled trials of detergent in preventing pin tract infection after orthopedic external fixation published from self-construction to April 30， 2023.The outcome measures were the incidence of pin tract infection and the positive rate of pin tract infection.The Cochrane risk of bias assessment tool was used to evaluate the quality of the included literatures.After the literature data were extracted，the RevMan 5.4 and Stata 17.0 software were used for data analysis. Results：Eight randomized controlled trials involving 439 patients with 4 435 pin sites were included.Of these，1 was a low risk study and 5 were medium risk studies.The results of network Meta-analysis showed that the infection rate of normal saline+1.5%H2O2+Xeroform（93.6%） and normal saline+Xeroform（70.6%） was higher than that of normal saline （62.0%）.The positive rate of infection was higher in normal saline+1.5% H2O2+Xeroform （91.2%），normal saline+0.2% polyhexamethylene biguanide（85.8%） and normal saline+Xeroform（53.2%） than in normal saline（52.7%）. Conclusion：Current evidence shows that normal saline+1.5%H2O2 +Xeroform is the most likely to be the best intervention in preventing the incidence of pin tract infection and infection positive rate after orthopedic external fixation among many detergents.

Keywords detergents; orthopedic external fixation; pin site infection; network Meta-analysis;randomized controlled trial; evidence-based nursing

摘要 目的：運用網(wǎng)狀Meta分析方法評價不同清潔劑預防骨科外固定術(shù)后針道感染發(fā)生的概率。（剩余11907字）