[1]黄伟华,张 杰,丁声双,等.椎管内麻醉与全身麻醉对髋部骨折患者术后谵妄影响的Meta分析[J].医学信息,2022,35(23):50-54.[doi:10.3969/j.issn.1006-1959.2022.23.008]
　HUANG Wei-hua,ZHANG Jie,DING Sheng-shuang,et al.Meta-analysis of the Effects of Spinal Anesthesia and General Anesthesia on Postoperative Delirium in Patients with Hip Fracture[J].Journal of Medical Information,2022,35(23):50-54.[doi:10.3969/j.issn.1006-1959.2022.23.008]
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椎管内麻醉与全身麻醉对髋部骨折患者术后谵妄影响的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年23期
页码:
50-54
栏目:
论著
出版日期:
2022-12-01

文章信息/Info

Title:
Meta-analysis of the Effects of Spinal Anesthesia and General Anesthesia on Postoperative Delirium in Patients with Hip Fracture
文章编号:
1006-1959（2022）23-0050-05
作者:
黄伟华; 张 杰; 丁声双; 等
（1.甘肃中医药大学第一临床医学院，甘肃 兰州 730000；2.甘肃省中医院麻醉科，甘肃 兰州 730050）
Author(s):
HUANG Wei-hua; ZHANG Jie; DING Sheng-shuang; et al.
(1.The First Clinical Medical College of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,Gansu,China;2.Department of Anesthesiology,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,Gansu,China)
关键词:
椎管内麻醉; 全身麻醉; 髋部骨折; 术后谵妄
Keywords:
Spinal anesthesia; General anesthesia; Hip fracture; Postoperative delirium
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.23.008
文献标志码:
A
摘要:
目的 系统评价椎管内麻醉（SA）与全身麻醉（GA）对髋部骨折患者术后谵妄的影响。方法 系统检索PubMed、Cochranelibrary、Web of science和Embase4个数据库，搜集建库至2022年2月有关SA和GA应用于髋部骨折手术对术后谵妄影响的随机对照研究文献。由2名研究人员独立完成文献筛选、数据提取和文献质量评价，并采用RevMan5.4软件进行Meta分析。结果 共纳入9篇随机对照研究文献，患者3235例，其中SA组1610例，GA组1625例。Meta分析显示：SA组和GA组术后4 d和7 d的谵妄发生率比较，差异无统计学意义（RR=1.03、1.05，95%CI：0.67~1.60、0.89~1.25，P＞0.05）；两组总住院时间、术后3个月死亡率比较，差异均无统计学意义（P＞0.05）。结论 与GA相比，SA不能降低髋部骨折术后4 d和7 d谵妄发生率、术后3个月死亡率及总住院时间。
Abstract:
Objective To systematically evaluate the effects of spinal anesthesia (SA) and general anesthesia (GA) on postoperative delirium in patients with hip fracture.Methods Pubmed, Cochranelibrary, Web of science and Embase databases were systematically searched to collect randomized controlled studies on the effects of SA and GA on postoperative delirium in hip fracture surgery from inception to February 2022. Two researchers independently completed literature screening, data extraction and literature quality evaluation, and meta-analysis was performed using RevMan5.4 software.Results A total of 9 randomized controlled studies were included, with 3235 patients, including 1610 patients in the SA group and 1625 patients in the GA group. Meta-analysis showed that there was no significant difference in the incidence of delirium between SA group and GA group at 4 days and 7 days after operation (RR=1.03, 1.05, 95%CI:0.67-1.60, 0.89-1.25, P>0.05). There was no significant difference in the total hospitalization time and the mortality rate at 3 months after operation between the two groups (P>0.05).Conclusion Compared with GA, SA cannot reduce the incidence of delirium at 4 days and 7 days after hip fracture surgery, mortality at 3 months after surgery, and total hospital stay.

参考文献/References:

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更新日期/Last Update: 1900-01-01