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[1]張家媛,劉文剛,林曉東,等.止血帶在關(guān)節(jié)鏡下前交叉韌帶重建術(shù)中應(yīng)用價(jià)值的Meta分析[J].中醫(yī)正骨,2022,34(05):32-37.
　ZHANG Jiayuan,LIU Wengang,LIN Xiaodong,et al.Clinical application value of tourniquets in arthroscopic anterior cruciate ligament reconstruction:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(05):32-37.
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止血帶在關(guān)節(jié)鏡下前交叉韌帶重建術(shù)中應(yīng)用價(jià)值的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年05期
頁(yè)碼:
32-37
欄目:
文獻(xiàn)研究
出版日期:
2022-05-20

文章信息/Info

Title:
Clinical application value of tourniquets in arthroscopic anterior cruciate ligament reconstruction:a meta-analysis
作者:
張家媛1; 劉文剛2; 林曉東2; 陳澤華1; 盧超2; 王維熙2; 鄭偉1; 單嘉欣1; 張一龍1; 黃磊1; 楊文斌2
(1.廣州中醫(yī)藥大學(xué)第五臨床醫(yī)學(xué)院,廣東 廣州 510405; 2.廣東省第二中醫(yī)院,廣東 廣州 510095)
Author(s):
ZHANG Jiayuan1; LIU Wengang2; LIN Xiaodong2; CHEN Zehua1; LU Chao2; WANG Weixi2; ZHENG Wei1; SHAN Jiaxin1; ZHANG Yilong1; HUANG Lei1; YANG Wenbin2
1.The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China 2.The Second Traditional Chinese Medicine Hospital of Guangdong,Guangzhou 510095,Guangdong,China
關(guān)鍵詞:
膝關(guān)節(jié);  前交叉韌帶重建術(shù);  關(guān)節(jié)鏡檢查;  止血帶;  專(zhuān)題Meta分析
Keywords:
knee joint;  anterior cruciate ligament reconstruction;  arthroscopy;  tourniquets;  Meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)止血帶在關(guān)節(jié)鏡下前交叉韌帶(anterior cruciate ligament,ACL)重建術(shù)中的應(yīng)用價(jià)值。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、維普網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)、PubMed、Embase和Cochrane Library中關(guān)于關(guān)節(jié)鏡下ACL重建術(shù)中使用止血帶的隨機(jī)對(duì)照試驗(yàn)文獻(xiàn)。試驗(yàn)組術(shù)中使用止血帶,對(duì)照組術(shù)中不使用止血帶。檢索時(shí)限均為建庫(kù)至2021年4月。由2名研究者根據(jù)納入和排除標(biāo)準(zhǔn)獨(dú)立進(jìn)行文獻(xiàn)篩選和數(shù)據(jù)提取,意見(jiàn)不一致時(shí)討論解決。采用Cochrane手冊(cè)中的偏倚風(fēng)險(xiǎn)評(píng)估工具評(píng)價(jià)文獻(xiàn)質(zhì)量,采用RevMan5.3軟件對(duì)手術(shù)時(shí)間、血紅蛋白減少量、術(shù)后嗎啡用量、術(shù)后引流量、膝關(guān)節(jié)疼痛視覺(jué)模擬量表(visual analogue scale,VAS)評(píng)分、股四頭肌肌力進(jìn)行Meta分析。結(jié)果:共檢索到328篇文獻(xiàn),通過(guò)逐層篩選,最終納入6篇文獻(xiàn),涉及252例患者。Meta分析結(jié)果顯示,試驗(yàn)組和對(duì)照組患者手術(shù)時(shí)間、血紅蛋白減少量、術(shù)后嗎啡用量、膝關(guān)節(jié)疼痛VAS評(píng)分、股四頭肌肌力的組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[MD=-0.08,95%CI(-0.39,0.23),P=0.630; MD=-0.08,95%CI(-0.45,0.29),P=0.660; MD=2.25,95%CI(-3.52,8.02),P=0.440; MD=0.16,95%CI(-0.13,0.44),P=0.280; MD=0.04,95%CI(-0.04,0.12),P=0.310],試驗(yàn)組患者術(shù)后引流量多于對(duì)照組[MD=94.85,95%CI(4.10,185.59),P=0.040]。結(jié)論:現(xiàn)有的證據(jù)表明,止血帶在關(guān)節(jié)鏡下ACL重建術(shù)中無(wú)明顯應(yīng)用價(jià)值。
Abstract:
Objective:To systematically review the clinical application value of tourniquets in arthroscopic anterior cruciate ligament reconstruction(ACLR).Methods:All the randomized controlled trial(RCT)articles about using tourniquets in arthroscopic ACLR included from database establishing to April 2021 were retrieved from China National Knowledge Internet,Vip Database,Wanfang Database,Chinese Biomedical Literature Database,PubMed,Embase and Cochrane Library through computer.The tourniquets were used in arthroscopic ACLR in experimental group and weren't used in control group.The articles were screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria,and if any disagreement was found between them,discussion was conducted for making a final decision.The methodological quality of research in the articles was evaluated by using bias risk assessment tools recommended by Cochrane handbook,and then a Meta-analysis on operative time,hemoglobin reduction,postoperative morphine dosage,postoperative drainage volume,knee pain visual analogue scale(VAS)score and muscular strength of quadriceps femoris was conducted by using RevMan5.3 software.Results:Three hundred and twenty-eight articles were searched out.After screening,6 articles(252 patients)were included in the final analysis.The results of Meta-analysis revealed that there was no statistical difference in operative time,hemoglobin reduction,postoperative morphine dosage,knee pain VAS score and muscular strength of quadriceps femoris between experimental group and control group(MD=-0.08,95%CI(-0.39,0.23),P=0.630; MD=-0.08,95%CI(-0.45,0.29),P=0.660; MD=2.25,95%CI(-3.52,8.02),P=0.440; MD=0.16,95%CI(-0.13,0.44),P=0.280; MD=0.04,95%CI(-0.04,0.12),P=0.310),whereas the postoperative drainage volume was more in experimental group compared to control group(MD=94.85,95%CI(4.10,185.59),P=0.040).Conclusion:Available evidences suggest that the tourniquets have no apparent applied value in arthroscopic ACLR.

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(收稿日期:2021-06-04 本文編輯:呂寧)

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備注/Memo

備注/Memo:
基金項(xiàng)目:廣州中醫(yī)藥大學(xué)研究生科研創(chuàng)新項(xiàng)目(A1-2606-21-429-001Z40) 通訊作者:楊文斌 E-mail:[email protected]
更新日期/Last Update: 1900-01-01