中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
33期
62-66
,共5页
暨铭坚%陈文利%宫玉翠%李平东
暨銘堅%陳文利%宮玉翠%李平東
기명견%진문리%궁옥취%리평동
肺栓塞%Meta分析%危险因素
肺栓塞%Meta分析%危險因素
폐전새%Meta분석%위험인소
Pulmonary embolism%Meta analysis%Risk factors
目的 综合分析肺栓塞发病的危险因素,为临床的预防决策提供依据.方法 应用Meta分析的方法对国内有关肺栓塞发病危险因素的研究结果进行定量综合分析;运用RevMan5.2和Stata 12.0软件进行统计分析.结果 共纳入11篇研究文献,合计样本量1 459例,其中深静脉血栓形成(DVT)、恶性肿瘤、6周内手术史、长期卧床≥7 d和慢性阻塞性肺疾病(COPD)与肺栓塞相关,其合并OR值(95％CI)分别为10.41(4.54,23.87)、6.79(2.37,19.43)、2.63(1.12,6.19)、3.48(1.15,10.58)、2.36(1.45,3.84).但尚不能认为既往血栓史、吸烟史与肺栓塞有关,其合并OR值(95％CI)分别为2.06(0.80,5.33)、1.57(0.87,2.82).结论 长期卧床≥7 d、恶性肿瘤、DVT、6周内手术史和COPD均为肺栓塞发病的主要危险因素,应对肺栓塞高危人群进行早期干预.
目的 綜閤分析肺栓塞髮病的危險因素,為臨床的預防決策提供依據.方法 應用Meta分析的方法對國內有關肺栓塞髮病危險因素的研究結果進行定量綜閤分析;運用RevMan5.2和Stata 12.0軟件進行統計分析.結果 共納入11篇研究文獻,閤計樣本量1 459例,其中深靜脈血栓形成(DVT)、噁性腫瘤、6週內手術史、長期臥床≥7 d和慢性阻塞性肺疾病(COPD)與肺栓塞相關,其閤併OR值(95％CI)分彆為10.41(4.54,23.87)、6.79(2.37,19.43)、2.63(1.12,6.19)、3.48(1.15,10.58)、2.36(1.45,3.84).但尚不能認為既往血栓史、吸煙史與肺栓塞有關,其閤併OR值(95％CI)分彆為2.06(0.80,5.33)、1.57(0.87,2.82).結論 長期臥床≥7 d、噁性腫瘤、DVT、6週內手術史和COPD均為肺栓塞髮病的主要危險因素,應對肺栓塞高危人群進行早期榦預.
목적 종합분석폐전새발병적위험인소,위림상적예방결책제공의거.방법 응용Meta분석적방법대국내유관폐전새발병위험인소적연구결과진행정량종합분석;운용RevMan5.2화Stata 12.0연건진행통계분석.결과 공납입11편연구문헌,합계양본량1 459례,기중심정맥혈전형성(DVT)、악성종류、6주내수술사、장기와상≥7 d화만성조새성폐질병(COPD)여폐전새상관,기합병OR치(95％CI)분별위10.41(4.54,23.87)、6.79(2.37,19.43)、2.63(1.12,6.19)、3.48(1.15,10.58)、2.36(1.45,3.84).단상불능인위기왕혈전사、흡연사여폐전새유관,기합병OR치(95％CI)분별위2.06(0.80,5.33)、1.57(0.87,2.82).결론 장기와상≥7 d、악성종류、DVT、6주내수술사화COPD균위폐전새발병적주요위험인소,응대폐전새고위인군진행조기간예.
Objective To comprehensively analyze of risk factors for the incidence of pulmonary embolism,and provide the basis for the prevention of clinical decision-making.Methods Using Meta-analysis to find out the domestic risk factors of pulmonary embolism with a comprehensive analysis of the quantitative method,and RevMan 5.2 and Stata 12.0 software were used for statistical analysis.Results A total of 11 research literature was included,with a total sample size of 1 459 cases,including DVT,cancer,operation history within 6 weeks,long-term bedridden ≥ 7 d and COPD which were associated with pulmonary embolism,the pooled odd rate (95％ CI) were 10.41 (4.54,23.87),6.79 (2.37,19.43),2.63 (1.12,6.19),3.48 (1.15,10.58),2.36 (1.45,3.84).It could not be certain that past history of thrombosis and smoking history were related to pulmonary embolism,their pooled OR (95％ CI) were 2.06 (0.80,5.33),1.57 (0.87,2.82).Conclusions Bedridden ≥ 7 d,cancer,DVT,operation history within 6 weeks and COPD are major risk factors for incidence of pulmonary embolism.Pulmonary embolism in high-risk groups should be dealt with early intervention.
