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区域麻醉与全身麻醉对腰椎手术后尿潴留发生影响的Meta分析
作者:徐敏雅1 2  邓春花1  孙美娟1  余小金2 
单位:1. 东南大学附属中大医院 骨科, 江苏 南京 210009;
2. 东南大学公共卫生学院 流行病与卫生统计学系, 江苏 南京 210009
关键词:术后尿潴留 Meta分析 全身麻醉 区域麻醉 
分类号:R681.53
出版年·卷·期(页码):2021·49·第五期(550-553)
摘要:

目的:探讨全身麻醉(GA)和区域麻醉(RA)对腰椎手术患者发生术后尿潴留(POUR)的影响,以判断麻醉方法是否为影响腰椎手术后POUR发生的影响因素。方法:检索已发表的随机对照研究(RCT)文献,比较采用GA和RA行腰椎手术患者POUR的发生风险;应用既定的文献检索策略在数据库中检索相关文献,经筛选后提取纳入文献的信息;采用改良的Jadad评分量表评估文献的质量;采用软件Review Manager 5.0对两种麻醉方法下腰椎手术患者POUR发生的风险比(RR)进行汇总分析,同时行异质性分析和发表偏倚分析。结果:共有12个RCT筛选后纳入,总样本量为900;汇总结果显示,RA相对于GA的RR为1.18,95%置信区间为0.77~1.81;异质性检验结果显示,χ2=14.63,P=0.15,I2=0.32,漏斗图显示未见明确发表偏倚。结论:两种麻醉方法对腰椎手术患者POUR发生的影响没有显著差异,麻醉方法不是影响腰椎手术POUR的因素。

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