中国老年保健医学2025，Vol.23Issue(4)：46-50,5.DOI:10.3969/j.issn.1672-2671.2025.04.009
老年关节置换术后低蛋白血症危险因素的Meta分析
Meta-analysis of risk factors for hypoproteinemia after arthroplasty in the elderly
摘要
Abstract
Objective To systematically analyze the risk factors for hypoproteinemia following hip and knee arthroplasty in elder-ly patients,and provide a reference for clinical healthcare providers to guide postoperative management.Methods Two independent investigators systematically searched literature databases including Wanfang Data,VIP,CNKI,CBM,Cochrane Library,Web of Sci-ence,PubMed,and Embase,with a search deadline of December 31,2024.Studies were screened,data extracted,and quality evalua-ted according to predefined inclusion and exclusion criteria.Meta-analysis was performed using RevMan5.3 software.Results A to-tal of 9 studies involving 3,240 patients were included.Meta-analysis showed that body mass index(BMI;OR=0.78,95％CI 0.65～0.94,P＜0.05),preoperative albumin level(OR=1.28,95％CI 1.02～1.60,P＜0.05),age(OR=3.07,95％CI 2.07～4.54,P＜0.05),surgical duration(OR=1.08,95％CI 1.02～1.16,P＜0.05),and American Society of Anesthesiologists(ASA)classification(OR=2.36,95％CI 1.24～4.49,P＜0.05)were significant risk factors for postoperative hypoproteinemia after hip and knee arthroplasty in elderly patients.Conclusion The occurrence of hypoproteinemia in elderly patients after hip or knee re-placement is influenced by multiple factors.Healthcare providers should implement early screening and targeted interventions based on these risk factors to reduce the incidence of postoperative hypoproteinemia.关键词
老年人/髋/膝/关节置换术/低蛋白血症/危险因素Key words
elderly/hip/knee/arthroplasty/hypoproteinemia/risk factors引用本文复制引用
杨燕飞,李娜,张敏,王峻..老年关节置换术后低蛋白血症危险因素的Meta分析[J].中国老年保健医学,2025,23(4):46-50,5.基金项目
云南中医药大学护理学院科创基金(编号:YZHCK2504) （编号:YZHCK2504）
