支气管镜治疗胸部外科手术术后肺不张和肺部感染的Meta分析

Meta-analysis of efficacy and value of bronchoscopy combined with normal treatment for postoperative complications-atelectasis and pneumonia

摘要:

目的??Meta分析支气管镜治疗胸部外科手术术后肺不张和肺部感染的疗效。方法?计算机检索英文数据库PubMed；中文数据库万方数据库、中国期刊全文数据库（CNKI）、重庆维普数据库（VIP），检索时限从建库至2016年4月，纳入比较胸部手术后使用支气管镜联合常规治疗与常规治疗肺不张及肺部感染的所有随机对照试验（RCT），采用Cochrane协作网提供的RevMan 5.3软件进行Meta分析。结果?共纳入8篇随机对照研究（共计543例患者），常规治疗组为275例，支气管镜合并常规治疗组为268例，支气管镜联合常规疗法治疗胸部手术肺不张、肺部感染的有效率与常规治疗组相比，差异有统计学意义[OR=3.80，95%CI（2.24，6.45），P =0.000]。结论?支气管镜联合常规疗法对于胸部术后并发症肺不张和肺部感染与常规疗法相比具有较高的治疗意义。

Abstract:

Objective?To evaluate the efficacy and value of bronchoscopy combined with normal treatment for postoperative complications-atelectasis and pneumonia.?Method?A systematic search in PubMed, CNKI, WANFANG was performed using “bronchoscopy” crossed with “atelectasis”, “pneumonia”. All the randomized controlled trials (RCT) on bronchoscopy used for postoperative complications were collected, which contain atelectasis or pneumonia. Meta-analysis was handled by RevMan 5.3.?Result?A total of 543 clients included in 8 studies, There were statistically significant differences in development of postoperative pulmonary complications such as atelectasis and pneumonia treated with normal treatment or fibrotic bronchoscopy additionally [OR=3.80, 95%CI (2.24, 6.45), P = 0.000].?Conclusion?Bronchoscopy combined with normal treatment is more effective and useful than normal treatment in postoperative complications-atelectasis and pneumonia.