PDF(Pubmed)
Abstract：
Ultrasound (US) has traditionally been recognised for its imaging capabilities, but its emerging role as a therapeutic modality in postoperative wound management, especially in paediatric care, has garnered significant attention. This meta-analysis aimed to evaluate the influence of US on postoperative wound healing and infection rates in paediatric patients. From an initial pool of 1236 articles, seven were deemed suitable for inclusion. Postoperative wound healing was assessed using the Redness, Edema, Ecchymosis, Discharge, and Approximation (REEDA) scale. Notably, there was a significant difference in wound healing patterns between the US-treated and control groups (I2 = 94%, standardized mean difference [SMD]: -4.60, 95% confidence intervals [CIs]: -6.32 to -2.88, p < 0.01), as illustrated in Figure 4. Additionally, a marked difference in wound infection rates was observed between the groups (I2 = 93%, SMD: -5.86, 95% CIs: -9.04 to -2.68, p < 0.01), as portrayed in Figure 5. The findings underscore the potential benefits of US in enhancing postoperative wound healing and reducing infection rates in paediatric surgical settings. However, the application of US should be judicious, considering the nuances of individual patient needs and clinical contexts.
摘要：
超声（US）传统上因其成像能力而被认可，但它在术后伤口管理中作为治疗方式的新兴作用，尤其是在儿科护理中，引起了极大的关注。这项荟萃分析旨在评估US对儿科患者术后伤口愈合和感染率的影响。从最初的1236篇文章中，七个被认为适合列入名单。术后伤口愈合使用红度评估，水肿,瘀斑,放电,和近似（REEDA）量表。值得注意的是,US治疗组和对照组的伤口愈合方式存在显着差异（I2=94％，标准化平均差[SMD]：-4.60，95%置信区间[CI]：-6.32至-2.88，p<0.01)，如图4所示。此外,观察到两组之间伤口感染率存在显着差异（I2=93％，SMD：-5.86，95%CIs：-9.04至-2.68，p<0.01），如图5所示。研究结果强调了US在儿科手术环境中增强术后伤口愈合和降低感染率的潜在益处。然而,美国的申请应该是明智的，考虑个体患者需求和临床环境的细微差别。
