造口粉联合皮肤保护膜护理失禁相关性皮炎效果Meta分析

摘要

目的 评价造口粉联合皮肤保护膜在失禁相关性皮炎患者肛周皮肤护理中的应用效果.方法 计算机检索PubMed、Medline、Cochrane Library、JBI Library、Springer、Ovid、Web of Science、CBM、VIP、中国知网、万方数据库,收集采用造口粉联合皮肤保护膜用于失禁相关性皮炎患者的随机对照试验,数据库检索时限均为各数据库建库至2016年5月.由2名评价者按照纳入与排除标准独立筛选文献、提取资料和质量评价后,采用RevMan 5.3进行Meta分析.结果 共纳入7篇文献.Meta分析结果显示:与常规肛周皮肤护理组相比,造口粉联合皮肤保护膜外用对失禁相关性皮炎患者的治疗效果较好(RR=1.52,95%CI为1.32~1.75,P<0.01);造口粉联合皮肤保护膜组的愈合时间短于常规肛周皮肤护理组(MD=-2.21,95%CI为-2.69~-1.72,P<0.01);造口粉联合皮肤保护膜组的复发率较常规肛周皮肤护理组低(RR=0.09,95%CI为0.02~0.31,P<0.01).结论 造口粉联合皮肤保护膜能有效治疗失禁相关性皮炎,可缩短患者失禁相关性皮炎愈合时间,降低复发率,促进疾病康复.%Objective To assess the effect of stoma powder combined skin protective film in patients with fecal incontinence. Methods We collected randomized controlled trails (RCTs) from Cochrane Library, Medline, PubMed, JBI Library, Ovid, Springer, Web of science, CNKI, CBM, Wanfang and VIP. Retrieval time for literatures was from the establishment of the database to May 2016. The quality of RCTs was critically appraised and data were extracted by 2 reviewers independently then Meta-analysis was conducted for eligible RCTs. Results 7 studies were included. Results of meta-analysis showed that stoma powder combined with skin protective film can be more effective in the treatment of incontinence-associated dermatitis ( RR=1.52,95%CI:1.32~1.75,P<0.01), with shorter healing time (MD=-2.21,95%CI:-2.69~-1.72,P<0.01)and lower recurrence rate (RR=0.09,95%CI:0.02~0.31,P<0.01). Conclusion With shorter healing time and lower recurrence rate, stoma powder combined with skin protective film is effective for incontinence-associated dermatitis.