摘要
目的:探讨纤维蛋白胶(fibrin glue,FG)在全膝关节置换术(total knee arthroplasty,TKA)中应用的有效性和安全性。方法:通过检索Pub Med、Embase、Cochrane Library、CNKI、CBM、万方等数据库,同时手工检索图书馆馆藏期刊,由2位研究者按照纳入和排除标准独立筛选高质量的随机对照试验(randomized controlled trials,RCTs)文献,采用Rev Man 5.2软件对提取的数据进行统计学分析。结果:共纳入11个RCTs,共973个TKA患者。Meta分析结果显示:与对照组相比,纤维蛋白胶可以减少TKA术后引流(MD=-227.36,95%CI=-359.47^-95.25,P=0.001);血红蛋白丢失量(MD=-0.63,95%CI=-0.79^-0.46,P=0.000);总失血量(MD=-235.59,95%CI=-453.31^-17.86,P=0.030);输血率(OR=0.44,95%CI=0.31~0.61,P=0.000);且不增加术后并发症的发生(OR=0.94,95%CI=0.61~1.45,P=0.790)。结论:FG可以有效减少TKA术后引流量,总失血量,血红蛋白丢失量,输血率但不增加术后并发症的发生。
Objective:To evaluate the efficacy and safety of fibrin glue in total knee arthroplasty(TKA). Methods:Studies were searched from Pub Med,Embase,Cochrane Library,CNKI,CBM,Wanfang digital journals and other internet databases. Two independent reviewers searched and assessed high-quality RCTs. The relevant data were analyzed using Rev Man 5.2 software. Results:Eleven studies including a total of 973 patients were included in the analysis. Compared with those in the control group,fibrin glue achieved a decrease in drain volume(MD=-227.36,95%CI=-359.47 to-95.25,P=0.001),hemoglobin reduction(MD=-0.63,95%CI=-0.79 to-0.46,P=0.000),transfusion rate(OR=0.44,95%CI=0.31 to 0.61,P=0.000),total blood loss(MD=-235.59,95%CI=-453.31 to-17.86,P=0.03),and did not increase the incidence of complications(OR=0.94,95%CI=0.61 to 1.45,P=0.790). Conclusion:Fibrin glue is effective in TKA without increasing the risk of complications.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2017年第2期158-162,共5页
Journal of Chongqing Medical University
基金
国家自然科学基金资助项目(编号:81160225
81260453
81360451)
新疆兵团医药卫生专项资助项目(编号:2013BA020)
兵团国际交流与合作专项基金资助项目(编号:2012BC002
2011BC004)
兵团科技创新团队专项基金资助项目(编号:2014CC002)