Comparison of effect between tranexamic acid versus fibrin sealant after joint arthroplasty:a Meta-analysis
10.3969/j.issn.1671-8348.2016.09.024
- VernacularTitle:氨甲环酸与纤维蛋白胶在关节置换术后疗效比较的 Meta分析
- Author:
Feng RAO
;
Hao DING
;
Yan WANG
;
Fuyu CHEN
;
Chenhui SHI
;
Weishan WANG
- Publication Type:Journal Article
- Keywords:
arthroplasty,replacement;
tranexamic acid;
fibrin sealant;
Meta-analysis
- From:
Chongqing Medicine
2016;45(9):1233-1235,1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness and safety of tranexamic acid and fibrin sealant in joint arthroplasty . Methods The literatures on the application of tranexamic acid and fibrin sealant in joint arthroplasty were retrieved from PubMed , Embase ,Cochrane Library ,CNKI and other internet databases .Two reviewers independently screened the literatures according to the inclusion and exclusion standard .The RevMan 5 .2 software was adopted to conduct the statistical analysis on the extracted da‐ta .Results Four randomized controlled trials(RCTs) and 2 retrospective experiments were included ,involving 449 patients .The meta analysis results showed that tranexamic acid and fibrin sealant had no statistically significant difference in total blood loss[MD= -192 .24 ,95% CI(-496 .16 ,111 .69) ,P=0 .22] and hemoglobin loss amount[MD= -0 .49 ,95% CI(-1 .19 ,0 .20) ,P=0 .16] , had statistically significant difference in the blood transfusion rate[OR=0 .30 ,95% CI(0 .18 ,0 .52) ,P<0 .01] ,and had no statisti‐cally significant difference in the postoperative complications[OR=1 .20 ,95% CI(0 .36 ,3 .99) ,P=0 .76] .Conclusion Tranexamic acid is more effective than fibrin sealant of controlling postoperative transfusion rate in joint arthroplasty .
