水动力清创治疗烧伤的效果：随机对照试验的系统评价

赵建磊, 赵婧琦, 刘唱, 黄靖竣, 金升元

Efficacy of hydrodynamic debridement in the treatment of burns: a systematic review of randomized controlled trials

ZHAO Jianlei, ZHAO Jingqi, LIU Chang, HUANG Jingjun, JIN Shengyuan

表2 水动力清创和常规清创治疗烧伤效果的分析

Tab 2 Analysis of the efficacy of hydrosurgery debridement and conventional debridement in the treatment of burns

Outcome Heterogeneity test Effect Model Meta-analysis P value I²/% MD/RR (95%CI) P value Time to complete healing after graft <0.001 68 Random -3.29 (-3.88, -2.70) <0.001 Time to debride 1% TBSA wound 0.003 69 Random -0.63 (-0.76, -0.50) <0.001 Percentage of skin graft survival 0.690 0 Fixed 8.62 (7.21, 10.04) <0.001 Secondary debridement rate 0.980 0 Fixed 0.21 (0.12, 0.37) <0.001 Positive rate of bacterial culture of wound exudate at 3 d post-surgery 0.990 0 Random 0.30 (0.17, 0.53) <0.001 Hospitalization duration <0.001 92 Random -4.22 (-6.17, -2.28) <0.001 Postoperative infection rate 0.810 0 Random 1.06 (0.66, 1.69) 0.820