[1]童禹浩,李军文,叶子翔,等.经尿道前列腺电切术后尿道感染影响因素的Meta分析[J].医学信息,2021,34(11):69-73.[doi:10.3969/j.issn.1006-1959.2021.11.021]
　TONG Yu-hao,LI Jun-wen,YE Zi-xiang,et al.Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate[J].Medical Information,2021,34(11):69-73.[doi:10.3969/j.issn.1006-1959.2021.11.021]
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经尿道前列腺电切术后尿道感染影响因素的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年11期
页码:
69-73
栏目:
论著
出版日期:
2021-06-01

文章信息/Info

Title:
Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate
文章编号:
1006-1959（2021）11-0069-05
作者:
童禹浩; 李军文; 叶子翔; 等
（1.成都中医药大学护理学院，四川 成都 610075； 2.成都市第一人民医院，四川 成都 610041）
Author(s):
TONG Yu-hao; LI Jun-wen; YE Zi-xiang; et al.
(1.School of Nursing,Chengdu University of TCM,Chengdu 610075,Sichuan,China; 2.Chengdu First People’s Hospital,Chengdu 610041,Sichuan,China)
关键词:
经尿道前列腺电切术; 尿道感染; 尿潴留; 糖尿病
Keywords:
Transurethral resection of the prostate; Urinary tract infection; Urinary retention; Diabetes
分类号:
R697+.32
DOI:
10.3969/j.issn.1006-1959.2021.11.021
文献标志码:
A
摘要:
目的 系统评价对经尿道前列腺电切除术后尿道感染的影响因素。方法 计算机检索中国知网、维普、万方数据库、中国生物医学数据库、PubMed、Cochrane Library、EMbase、Medline等数据库。检索从建库至2021年1月经尿道前列腺电切除术后尿道感染影响因素相关研究。由２名研究人员根据要求独立进行筛选文献、提取资料并进行质量评价，采用RevMan5.3软件对数据进行Meta分析。结果 共纳入24篇文献，Meta分析结果显示，经尿道前列腺电切除术后尿道感染影响因素为年龄[OR=1.64，95%CI（1.32,2.05）]、合并糖尿病[OR=2.60，95%CI（2.10,3.23）]、术前尿潴留导尿[OR=2.50，95%CI（1.73,3.61）]、术后留置导管时间[OR=2.80，95%CI（2.11,3.71）]、术前使用抗生素[OR=2.14，95%CI（1.15,3.98）]、手术时间[OR=1.96，95%CI（1.32,2.93）]、前列腺体积[OR=3.89，95%CI（1.75,8.65）]。敏感性分析显示Meta分析结果具有稳定性。结论 经尿道前列腺电切术后尿道感染影响因素为年龄、合并糖尿病、术前尿潴留导尿、术后留置导管时间、术前预防性使用抗生素、手术时间、前列腺体积，在临床工作中针对以上影响因素，需采取相关预防措施，以控制感染发生。
Abstract:
Objective To systematically evaluate the influencing factors of urinary tract infection after transurethral resection of the prostate.Methods Computer searched databases such as CNKI, Weipu, Wanfang, China Biomedical Database, PubMed, Cochrane Library, EMbase, and Medline.Retrieve the related research on the influencing factors of urinary tract infection after transurethral resection of the prostate from the establishment of the database to January 2021.Two researchers independently screened the literature, extracted data and evaluated the quality according to the requirements, and used RevMan5.3 software to conduct Meta analysis on the data.Results A total of 24 articles were included. Meta-analysis showed that the influencing factors of urinary tract infection after transurethral resection of the prostate were age [OR=1.64, 95%CI(1.32, 2.05)], combined with diabetes [OR=2.60, 95%CI(2.10, 3.23)], preoperative urinary retention and catheterization [OR=2.50, 95%CI(1.73, 3.61)], postoperative indwelling catheter time [OR=2.80, 95%CI(2.11, 3.71)],preoperative antibiotics [OR=2.14, 95%CI(1.15, 3.98)], operation time [OR=1.96, 95%CI(1.32, 2.93)], prostate volume [OR=3.89, 95%CI(1.75,8.65)].Sensitivity analysis showed that the results of Meta analysis are stable.Conclusion The influencing factors of urinary tract infection after transurethral resection of the prostate are age, diabetes, preoperative urinary retention and catheterization, postoperative indwelling catheter time, preoperative prophylactic use of antibiotics, operative time, and prostate volume.For the above influencing factors in clinical work, relevant preventive measures need to be taken to control the occurrence of infection.

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更新日期/Last Update: 1900-01-01