11種干預(yù)方式治療腸造口周圍皮炎療效的網(wǎng)狀Meta分析
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Effects of eleven intervention methods in the treatment of perienterostomy dermatitis:a network Meta-analysis
LU Xianying,GAO Jing,BAI Dingxi,LIU Ruirui,WANG Wei,CAI Mingjin
School of Nursing,Chengdu University of Traditional Chinese Medicine,Sichuan 611137 China
Corresponding AuthorGAO Jing,E-mail:[email protected]
AbstractObjective:To evaluate the effect of 11 common interventions on perienterostomy dermatitis by network Meta-analysis.Methods:Studies on the effects of eleven intervention methods in the treatment of perienterostomy dermatitis were searched from PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,VIP,WanFang Database,CBM and CINAHL.The retrieval time was from the establishment of the database to January 2022.Two researchers independently screened the literature,extracted the data and evaluated the risk of bias,and Stata 16.0 software was used to network Meta-analysis.Results:A total of 27 randomized controlled trials were included,involving 1 868 patients.Network Meta-analysis results showed that hydrocolloid dressing+compound keratate cream,hydrocolloid+alginate dressing,hydrocolloid dressing,hydrocolloid dressing+ostomous care powder+skin protective film,chitosan wound care membrane,compound keratate cream,moist burn cream were superior to zinc oxide ointment in treating perienterostomy dermatitis(P<0.05);Hydrocolloid dressing+compound ceratate cream,hydrocolloid+alginate dressing has better efficiency than ostomy care powder+skin protective film(P<0.05);The probability results showed that hydrocolloid dressings+compound ceratate cream,hydrocolloid+alginate dressing,infrared+ostomy care powder+skin protective membrane ranked the third.Conclusions:Current evidence shows that the combination of wet dressing and infrared therapy is better in enterostomy dermatitis.Due to the inclusion of the institute,it is recommended to further verify more high-quality,multi-center RCT with large samples in the future.In addition,it is suggested that future studies should focus on the direct comparison of effects and cost effect evaluation between different types of dressings.
Keywordsperienterostomy dermatitis;dressing;ointment;evidence-based nursing;network Meta-analysis
摘要目的:采用網(wǎng)狀Meta分析評價11種常見干預(yù)措施治療腸造口周圍皮炎的效果。(剩余11267字)