创伤性脾破裂脾切除术后血小板增多的meta分析.docVIP

精品论文 参考文献 创伤性脾破裂脾切除术后血小板增多的Meta分析 王浩东 段彦红(通讯作者) 　　（大理大学临床医学院 云南大理 671000） 　　【摘要】目的：研究创伤性脾破裂脾切除术后血小板增多的表现原因，对比临床参考文献和其他观点信息，得出有效结论。方法：采用Meta分析法，搜集整理有关于创伤性脾破裂脾切除术、血小板增多变化的参考文献，对符合对比研究的病案展开分析，确定术后血小板增多的原因，以及治疗技术的根本性影响。结果：符合研究标准共6篇参考文献，201例病例，均采用不同种类抗血小板黏附、聚集的抗凝治疗，行脾切除术后1周、2周血小板上升，3周、4周后血小板逐渐呈下降变化，总治疗有效率为95.34%。结论：腹腔镜脾切除术在临床实践中的服务优势体现在高效、安全上，围绕术后血小板增多的Meta分析研究结果对创伤性脾破裂医疗工作有前瞻性理论指导作用。 　　【关键词】创伤性脾破裂；脾切除术；血小板；Meta分析 　　【中图分类号】R657.6+2 【文献标识码】A 【文章编号】1007-8231（2015）23-0082-02 　　Traumatic splenic rupture after splenectomy Meta analysis of thrombocytosis Wang Haodong,Duan Yanhong. 　　Dali university Affiliated hospital, Yunnan 617000,China 　　【Abstract】Objective To study the traumatic splenic rupture after splenectomy thrombocytosis, contrast clinical references and other information, draw valid conclusions. Methods Using Meta analysis, collect about traumatic spleen rupture splenectomy, references, and thrombocytosis change to conform to the comparative study of the medical record analysis, determine the cause of the postoperative thrombocytosis, and the fundamental effects of treatment technology. Results The research standard, a total of 6 references of 201 cases, adopt different kinds of platelet adhesion and aggregation of anticoagulant therapy, line 1 week, 2 weeks after splenectomy platelet rising, 3 weeks, 4 weeks after platelet changes to decline gradually, the total effective rate of 95.34%. Conclusion Laparoscopic splenectomy service advantages in clinical practice is embodied in an efficient, safe, around the research results of the meta-analysis of the postoperative thrombocytosis is prospective for traumatic splenic rupture medical work theory instruction function. 　　【Key words】Traumatic spleen rupture; Splenectomy; Platelets; Meta analysis 　　腹腔镜脾切除术是近些年新引入的微创手术治疗技术，在创伤性脾破裂疾病治疗上有很显著的应用价值，有许多专家和学者在该项技术应用上做了专题研究。为了证明、讨论腹腔镜脾切除术技术的临床应用价值及影响，笔者将通过Meta分析法，对当前已经得出的结论和观点展开回顾性分析，进行系统定量分析，现报告如下。 　　1.资料与方法 　　1.1 一般资料 　　本次研究在知网、万方等文献检