水胶体敷料预防PICC患者机械性静脉炎效果的meta分析

水胶体敷料预防PICC患者机械性静脉炎效果的meta分析

黎贵

中国医学科学院肿瘤医院内科

出版日期:2014-11-25 发布日期:2014-11-25

A system review of the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis: meta-analysis

Online:2014-11-25 Published:2014-11-25

摘要/Abstract

摘要： 目的：系统评价水胶体敷料对于PICC 患者机械性静脉炎的预防效果。方法：计算机检索Cochrane Database of Systematic Reviews、JBI Database of Systematic Review、EMBase、PubMed、中国生物医学文献数据库、万方数据库和中国学术期刊全文数据库中关于水胶体敷料对于预防PICC 患者机械性静脉炎效果的随机对照试验(RCT) 和半随机对照试验（q-RCT），同时筛检纳入文献的参考文献。由2 名研究者对文献质量进行严格评价和资料提取，对符合质量标准的RCT进行meta 分析。结果：共纳入9 篇文献，meta 分析的结果显示水胶体敷料能降低PICC 患者机械性静脉炎的发生率。结论：水胶体敷料的使用对于预防PICC 机械性静脉炎的发生具有显著效果，具有一定临床推广意义。

Abstract: Objective: To systematically evaluate the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis. Methods: The authors searched the Cochrane Database of Systematic Reviews,JBI Database of Systematic Review, EMBase, PubMed, CBMdisc, Wanfang Data and CNKI to collect randomized controlled trials (RCTs) and quasi-Randomized Controlled Trials (q-RCTs) which studied the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis. The quality of RCTs and q-RCT were critically appraised and data were extracted by 2 reviewers independently. Meta-analyses were conducted for the eligible RCTs. Results: 9 RCTs were included. The meta-analysis had showed that hydrocolloid dressing could decrease the rate of Peripherally Inserted Central Catheter-related mechanical phlebitis significantly. Conclusion: Hydrocolloid dressing was effective to prevent Peripherally Inserted Central Catheter-related mechanical phlebitis.

黎贵. 水胶体敷料预防PICC患者机械性静脉炎效果的meta分析[J]. , 2014, 14(11): 1145-1148.