背景:传统的悬垂切除术是一种有害的手术,其中整个或一部分的悬垂被传统的从业者切除。它会引起并发症,如败血症,传染病的传播,贫血,出血过多,感染,破伤风,脑膜炎,和死亡。缺乏国家数据摘要,因此,本研究旨在确定埃塞俄比亚传统悬漏切除术的汇总国家负担和决定因素.
方法:研究来自PubMed,EMBASE,CINHAL(EBSCO),谷歌学者,WebofSciences,MEDLINE,科克伦图书馆,Scopus,Google数据库。最后,包括19项研究。使用JBI检查表评估纳入研究的方法学质量。使用STATA版本17软件进行数据合成和统计分析。评估异质性和发表偏倚。森林地块被用来呈现随机效应元分析模型的汇总和总结。
结果:本系统综述和荟萃分析共纳入19篇文章,23,559名研究参与者。在埃塞俄比亚,总合并的悬漏切除术患病率为44%(95%CI:31%-57%)。在Tigray地区进行的研究中,患病率最高(63%(95%CI:34%-94%),在2011-2014年之间(58%(95%CI:29%-87%))和,社区设置(57%(95%CI:36%-78%)。在埃塞俄比亚,母亲的教育状况(AOR:1.66,95%CI:1.31-2.01)和居住地(AOR:1.70,95%CI:1.16-2.23)与传统的悬漏切除术显着相关。经常被引用的原因传统的悬雍垂切除术是为了防止肿胀,脓液,小舌的破裂,为了更好的照顾,预防喉咙痛和咳嗽,宗教,和文化。
结论:汇总结果显示,在埃塞俄比亚,仍有近一半的儿童接受传统的悬漏切除术。有必要通过特别关注农村居民和未受过教育的人,加强针对这种做法的提高认识运动。
BACKGROUND: Traditional uvulectomy is a harmful procedure in which the entire or a portion of the
uvula is removed by traditional practitioners. It causes complications like septicemia, transmission of infectious diseases, anemia, excessive bleeding, infection, tetanus, meningitis, and death. A summary of national data was lacking, thus, the study aimed to determine the pooled national burden and determinants of traditional uvulectomy in Ethiopia.
METHODS: Studies were retrieved from PubMed, EMBASE, CINHAL (EBSCO), Google Scholar, Web of Sciences, MEDLINE, Cochrane Library, SCOPUS, and Google databases. Finally, 19 studies were included. The methodological quality of the included studies was assessed using the JBI checklist. Data synthesis and statistical analysis were conducted using STATA Version 17 software. Heterogeneity and publication bias were assessed. Forest plots were used to present the pooled and summarized with random-effects meta-analysis models.
RESULTS: Totally 19 articles with 23,559 study participants were included in this systematic review and meta-analysis. The overall pooled prevalence of uvulectomy in Ethiopia was 44 % (95 % CI: 31%-57 %). The highest prevalence was observed among studies conducted in the Tigray region (63 % (95 % CI: 34%-94 %), between the year 2011-2014 (58 % (95 % CI: 29%-87 %)) and, community setting (57 % (95 % CI: 36%-78 %). Mothers\' educational status (AOR: 1.66, 95 % CI: 1.31-2.01) and residence (AOR: 1.70, 95 % CI: 1.16-2.23) were found to be significantly associated with traditional uvulectomy in Ethiopia. Frequently cited reasons for traditional uvulectomy were to prevent swelling, pus, and rupture of the
uvula, for better care, prevention of sore throats and coughs, religion, and culture.
CONCLUSIONS: The pooled result revealed that almost half of children are still subjected to traditional uvulectomy in Ethiopia. There is a need to intensify awareness creation campaigns against the practice by giving special attention to rural residents and uneducated ones.