[目的]通过Meta分析探讨使用泡沫敷料与水胶体敷料的压疮管理效果,为临床选择适当敷料提供依据。[方法]计算机检索PubMed,Web of Science,Cochrane Library及中国知网、万方数据库、维普数据库。由两名研究者对文献质量进行评价和资料提...[目的]通过Meta分析探讨使用泡沫敷料与水胶体敷料的压疮管理效果,为临床选择适当敷料提供依据。[方法]计算机检索PubMed,Web of Science,Cochrane Library及中国知网、万方数据库、维普数据库。由两名研究者对文献质量进行评价和资料提取,对符合质量标准的文献进行Meta分析。[结果]初步检出相关文献927篇,其中英文文献573篇,中文文献354篇,排除重复87篇,阅读文题和摘要排除807篇,纳入33篇,通过查找全文、阅读、质量评价,最终纳入6篇文献,其中中文文献2篇,英文文献4篇。4篇英文文献是以压疮治疗效果进行分析,显示使用泡沫敷料和水胶体敷料对压疮治愈效果差异无统计学意义[RR=0.96,95%CI(0.67,1.38),P=0.83]。2篇中文文献以高危压疮预防进行分析,显示使用泡沫敷料可以预防病人压疮发生[RR=0.29,95%CI(0.18,0.45),P<0.001]。[结论]泡沫敷料与水胶体敷料压疮治疗效果仍需进一步临床试验探究,存在压疮风险病人使用泡沫敷料可以预防压疮发生。展开更多
Background： Hebei province is located in North of China with of approximately 6% of whole national population. It is known as a high-risk area for esophageal cancer in China and worldwide. The aim of our study was to...Background： Hebei province is located in North of China with of approximately 6% of whole national population. It is known as a high-risk area for esophageal cancer in China and worldwide. The aim of our study was to estimate the esophageal cancer burden and trend in Hebei Province. Methods： Eight cancer registries in Hebei Province submitted cancer registry data to the Hebei Provincial Cancer Registry Center. All data were qualified and compiled for cancer statistics in 2011. The pooled data were stratified by gender and age group （0, 1-4, 5-9, 10-14...80＋）. Incidence and mortality rates were age-standardized to World Segi＇s population standard and expressed per 100,000 persons. In addition, proportions and cumulative incidence/mortality rates for esophageal cancer were calculated. Esophageal cancer mortality data during the periods 1973-1975, 1990-1992, and 2004-2005 were extracted from the national death surveys. Mortality and incidence rate data from Cixian and Shexian were obtained from population-based cancer registries in each county. Results： The estimated number of newly diagnosed esophageal cancer cases and deaths in 2011 in Hebei Province was 24,318 and 18,226, respectively. The crude incidence rate of esophageal cancer was 33.37/100,000 （males, 42.18/100,000 and females, 24.31/100,000）. The age-standardized rate by world standard population （ASRW） was 28.09/100,000, ranking third among all cancers. The esophageal cancer mortality rate was 25.01/100,000 （males, 31.40/100,000 and females, 18.45/100,000）, ranking third in deaths among all cancers. The mortality rates of esophageal cancer displayed a significant decreasing trend in Hebei Province from 1973-1975 （ASRW =48.69/100,000） to 2004-2005 （ASRW =28.02/100,000）, with a decreased rate of 42.45%. In Cixian, the incidence of esophageal cancer decreased from 250.76/100,000 to 106.74/100,000 in males and from 153.86/100,000 to 75.41/100,000 in females, with annual percentage changes （APC） of 2.13 and 2.16, while the 展开更多
文摘[目的]通过Meta分析探讨使用泡沫敷料与水胶体敷料的压疮管理效果,为临床选择适当敷料提供依据。[方法]计算机检索PubMed,Web of Science,Cochrane Library及中国知网、万方数据库、维普数据库。由两名研究者对文献质量进行评价和资料提取,对符合质量标准的文献进行Meta分析。[结果]初步检出相关文献927篇,其中英文文献573篇,中文文献354篇,排除重复87篇,阅读文题和摘要排除807篇,纳入33篇,通过查找全文、阅读、质量评价,最终纳入6篇文献,其中中文文献2篇,英文文献4篇。4篇英文文献是以压疮治疗效果进行分析,显示使用泡沫敷料和水胶体敷料对压疮治愈效果差异无统计学意义[RR=0.96,95%CI(0.67,1.38),P=0.83]。2篇中文文献以高危压疮预防进行分析,显示使用泡沫敷料可以预防病人压疮发生[RR=0.29,95%CI(0.18,0.45),P<0.001]。[结论]泡沫敷料与水胶体敷料压疮治疗效果仍需进一步临床试验探究,存在压疮风险病人使用泡沫敷料可以预防压疮发生。
基金supported by grants from the National Natural Scientific Foundation of China(81272682)the National Natural Scientific Foundation of Hebei Province(C2011206058)financial department of Hebei Province[No.(2012)2056]
文摘Background： Hebei province is located in North of China with of approximately 6% of whole national population. It is known as a high-risk area for esophageal cancer in China and worldwide. The aim of our study was to estimate the esophageal cancer burden and trend in Hebei Province. Methods： Eight cancer registries in Hebei Province submitted cancer registry data to the Hebei Provincial Cancer Registry Center. All data were qualified and compiled for cancer statistics in 2011. The pooled data were stratified by gender and age group （0, 1-4, 5-9, 10-14...80＋）. Incidence and mortality rates were age-standardized to World Segi＇s population standard and expressed per 100,000 persons. In addition, proportions and cumulative incidence/mortality rates for esophageal cancer were calculated. Esophageal cancer mortality data during the periods 1973-1975, 1990-1992, and 2004-2005 were extracted from the national death surveys. Mortality and incidence rate data from Cixian and Shexian were obtained from population-based cancer registries in each county. Results： The estimated number of newly diagnosed esophageal cancer cases and deaths in 2011 in Hebei Province was 24,318 and 18,226, respectively. The crude incidence rate of esophageal cancer was 33.37/100,000 （males, 42.18/100,000 and females, 24.31/100,000）. The age-standardized rate by world standard population （ASRW） was 28.09/100,000, ranking third among all cancers. The esophageal cancer mortality rate was 25.01/100,000 （males, 31.40/100,000 and females, 18.45/100,000）, ranking third in deaths among all cancers. The mortality rates of esophageal cancer displayed a significant decreasing trend in Hebei Province from 1973-1975 （ASRW =48.69/100,000） to 2004-2005 （ASRW =28.02/100,000）, with a decreased rate of 42.45%. In Cixian, the incidence of esophageal cancer decreased from 250.76/100,000 to 106.74/100,000 in males and from 153.86/100,000 to 75.41/100,000 in females, with annual percentage changes （APC） of 2.13 and 2.16, while the
