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经鼻无湿化持续中低流量吸氧效果的系统评价

楚姝 陈湘玉   

  1. 南京中医药大学护理学院
  • 出版日期:2016-01-25 发布日期:2016-01-25

A systematic review of the efficacy of continuing low-flow non-humidified nasal cannula oxygen therapy

  • Online:2016-01-25 Published:2016-01-25

摘要: 目的:系统评价经鼻无湿化持续中低流量吸氧的临床效果。方法:计算机检索CBMdisc、CNKI、维普、PubMed、EMbase、Web of Science 和Cochrane 图书馆中关于经鼻无湿化持续中低流量吸氧临床应用研究的随机对照试验,由2 位评价者独立筛选文献并提取资料。结果:共纳入12 篇文章,纳入研究的质量多为中等。Meta 分析结果显示,经鼻无湿化持续中低流量吸氧与常规吸氧相比,所引起的呼吸道不适症状差异均无统计学意义(P >0.05),但能降低湿化瓶污染率和继发呼吸道感染发生率,减少吸氧操作耗时,提高患者满意度,差异均有统计学意义(P <0.05)。结论:经鼻无湿化持续中低流量吸氧能减少湿化瓶污染和继发呼吸道感染发生,节省护理操作时间,提高患者满意度,且不影响患者的氧疗舒适度,但仍需要多中心的随机对照试验予以证实。

Abstract: Objective: To examine the efficacy of continuing low-flow non-humidified nasal cannula oxygen therapy.Methods: We searched the databases such as CBMdisc, CNKI, VIP, PubMed, EMbase, Web of Science and Cochrane library to gather the studies on low-flow non-humidified nasal cannula oxygen therapy of which those were under the randomized controlled trials (RCTs) and quasi- randomized controlled trials. The quality of studies was evaluated and the data were selected by two independent reviewers. Results: Twelve RCTs were finally included and they were at medium level in quality. The meta-analysis showed little significant difference in respiratory symptoms between the two groups(P>0.05), but there was statistically difference in the incidence of humidifier pollution and respiratory tract infection,operating time of oxygen therapy and patients' satisfaction (P<0.05). Conclusion: The continuing low-flow non-humidified nasal cannula oxygen therapy could reduce the incidence of humidifier pollution and respiratory tract infection. The technique also could shorten operating time of oxygen therapy and improve patients' satisfaction with little respiratory symptoms. Research from multicenter RCTs should be beneficial to further confirm the result.