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收稿:2020-05-18,
纸质出版:2020-09-15
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陈小丽, 冯一梅, 孙恒蕊, 等. 恶性血液病患者并发肛周组织感染相关因素Meta分析[J]. 第三军医大学学报, 2020,42(17):1763-1770.
Xiaoli CHEN, Yimei FENG, Hengrui SUN, et al. Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis[J]. Journal of Third Military Medical University, 2020, 42(17): 1763-1770.
陈小丽, 冯一梅, 孙恒蕊, 等. 恶性血液病患者并发肛周组织感染相关因素Meta分析[J]. 第三军医大学学报, 2020,42(17):1763-1770. DOI: 10.16016/j.1000-5404.202005137.
Xiaoli CHEN, Yimei FENG, Hengrui SUN, et al. Related factors of perianal tissue infection in patients with malignant hematopathy: a meta-analysis[J]. Journal of Third Military Medical University, 2020, 42(17): 1763-1770. DOI: 10.16016/j.1000-5404.202005137.
Objective
2
To analyze the risk factors of perianal infection in patients with malignant hematopathy in order to provide theoretical basis for the prevention.
Methods
2
Case-control studies and cohort studies concerning the related factors or the main risk factors for perianal tissue infection in patients with malignant hematopathy were retrieved from the indexed articles from PubMed
Cochrane Library
Web of Science
China National Knowledge Infrastructure Database (CNKI)
China Science and Technology Periodical Database (VIP)
and Wanfan Database. Two evaluators independently retrieved and screened the literature
extracted the data
and made methodological quality assessment of the included literatures a
nd cross-checked. Controversial issues were discussed and agreed by 3 evaluators together. Software Revman 5.3 was used for meta-analysis. A fixed-effect model or a random-effect model was used to combine odds ratio (
OR
) values and 95% confidence intervals (
CI
) to analyze each relevant risk factor
and sensitivity analysis was employed to assess the stability of the results.
Results
2
Eight literatures
containing a total of 1 857 cases were included for further analysis
including 272 cases (272/1 857
14.6%) in the perianal infection group and 1 585 cases in the control group. The results of meta-analysis showed that age older than 50 years
irremission after chemotherapy
and the absolute count of neutrophils
<
0.5×10
9
/L
and acute myeloid leukemia were related to the formation of perianal infection in patients with hematopathy. There were no statistical difference in the incidence of perianal infection between male and female patients (
P
>
0.05).
Conclusion
2
The risk factors for perianal infection in patients with malignant hematologic disease are those aged over 50 years
unrelieved chemotherapy
and absolute value of neutrophils
<
0.5×10
9
/L and acute myeloid leukemia.
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