结直肠癌术后腹腔感染影响因素的Meta分析

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AbstractOjective：Toanalyzheinfluencingfactorsofpostoperativeintraabdominalinfectioninpatientswitholorectalcancer. Methods：PubMed，EMbase，CochraneLibrary，Webofcience，WanFangDataCBM，VIandCNKIweresearchedforitatureon theinfluencingfactorsofintraabdominalinfectionaftercolorectalcancersurgeryTheretrievaltimewasfromtheinceptiontoMarch 2024.Stata 15.Osoftware wasusedtoconduct Meta-analysis oftheincluded studiesand NewcastleOtawa Scale（NOS）was used to evaluateteqalityofteicludedstudies.Results：Atotalofarticleswereicuded，volvingliskfactos.Metaaalyisls showed that abdominal cavity drainage tube placement time ⩾10 d（OR=3.09， 95% CI 2.51-3.81），combined diabetes（OR =2.00 ，95%CI 1.77-2.27），postoperative anastomotic fistula（OR 95% CI 3.19-5.79），operation time ⩾ 120min（OR .=2.92 ，95%CI2.42-3.52）， incision length≥15cm（OR =3.43 ， 95% CI 2.24-5.25），length of hospital stay≥30 d（OR .=3.76 ，95%CI 1.91-7.39），preoperative serum albumin level≤35g/L（OR =2.58 ，95%CI 1.66-4.01），blood loss≥300 mL（OR =1.85 ， 95% CI 1.42-2.41），preoperative intestinal obstruction（OR ∘eq 2.87，95%CI 1.53-5.38），anemia（OR ∘eq 2.70， 95% CI 1.25-5.81），tumor stage ⩾ IIIOR 1.87， 95% CI 1.30，2.69） were influencingfactorsforintraabdominalinfectionaftercolorectalcancersurgery.Concusio：Currentevidenceshowsthattheabove1 factorsareifuencingfactorsofpostoperatieitraabdomalifectioipatientsitholorectalcancehichanprovideattical basis for implementing targeted preventive measures for clinical medical staff.

Keywordscolorectalcancer; intra-abdominalinfection;influencing factors;Meta-analysis;evidence-based nursing

目前，结直肠癌位列全球癌症发病率第3位和癌症致死原因第2位，每年有超过185万的病例及85万的死亡案例[1。（剩余10069字）