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3 改变效应模型后meta分析结果

Tab 3 Meta-analysis results after altering the effect model

Outcome Number of studies/n Fixed-effects model Random-effects model MD/RR (95%CI) P value MD/RR (95%CI) P value Time to complete healing after graft 10 -3.11 (-3.43, -2.80) <0.001 -3.29 (-3.88, -2.70) <0.001 Time to debride 1% TBSA wound 7 -0.65 (-0.71, -0.58) <0.001 -0.63 (-0.76, -0.50) <0.001 Percentage of skin graft survival 4 8.62 (7.21, 10.04) <0.001 8.62 (7.21, 10.04) <0.001 Secondary debridement rate 7 0.21 (0.12, 0.37) <0.001 0.22 (0.12, 0.39) <0.001 Positive rate of bacterial culture of wound exudate at 3 d post-surgery 3 0.30 (0.17, 0.53) <0.001 0.30 (0.17, 0.53) <0.001 Hospitalization duration 4 -3.86 (-4.38, -3.33) <0.001 -4.22 (-6.17, -2.28) <0.001 Postoperative infection rate 3 1.05 (0.65, 1.68) 0.850 1.06 (0.66, 1.69) 0.820