主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (2): 232-237.doi: 10.3969/j.issn.1672-1756.2021.02.016

• 循证护理 • 上一篇    下一篇

ICU患者获得性吞咽障碍危险因素的Meta分析

蒋玲洁 杨琳 张志刚 岳伟岗 张彩云 丁楠楠 韩露露 姚丽   

  1. 空军军医大学附属第二医院妇产科生殖医学中心，710038 西安市（蒋玲洁）；重症医学科（张志刚，岳伟岗）；护理部（张彩云）；兰州大学护理学院（蒋玲洁，杨琳，张志刚，丁楠楠，韩露露，姚丽）
  • 出版日期:2021-02-15 发布日期:2021-02-15
  • 通讯作者: 张志刚，硕士，副教授，硕士生导师，E-mail:zzg3444@163.com
  • 作者简介:蒋玲洁，硕士，护师

Meta-analysis of risk factors for acquired dysphagia in ICU patients

JIANG Lingjie, YANG Lin, ZHANG Zhigang, YUE Weigang, ZHANG Caiyun, DING Nannan, HAN Lulu, YAO Li   

  1. Reproductive Medicine Center of Obstetrics and Gynecology Department, The Second Affiliated Hospital of Air Force Military Medical University, 710038, Xi'an, Chian
  • Online:2021-02-15 Published:2021-02-15
  • Contact: E-mail:zzg3444@163.com

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摘要： 目的：通过Meta分析明确ICU患者获得性吞咽障碍的危险因素。方法：计算机检索数据库the Cochrane Library、PubMed、Embase、Web of Science、中国期刊全文数据库、万方数据库、维普数据库和中国生物医学文献数据库，搜索自建库至2020年11月关于ICU患者获得性吞咽障碍危险因素的队列研究、病例对照研究等文献，利用RevMan?5.3软件进行Meta分析。结果：共纳入14篇文献，共3?395例患者，纳入危险因素11个，其中机械通气时间、气管切开和年龄的合并效应量有统计学意义（P<0.05），OR（95%CI)分别为1.97（1.64～2.36）、1.63（1.21～2.21）、1.05（1.03～1.07）。结论：基于现有证据，ICU患者获得性吞咽障碍的危险因素为机械通气时间、气管切开和年龄。

关键词: 重症监护室, 吞咽障碍, 危险因素, 系统评价

Abstract: Objective: To determine the risk factors of acquired dysphagia in ICU patients by Meta-analysis. Methods: Studies were identified through a search of the Cochrane Library, PubMed, Embase, Web of Science, CNKI, Wanfang Data, VIP Database and SinoMed from inception to November 2020. Data sets from published cohort studies, case-control studies and studies with other research design with data on risk factors for acquired dysphagia in ICU patients were screened for eligibility, and RevMan 5.3 software was used for Meta-analysis. Results: A total of 14 articles were included. The total sample size was 3395, and 11 risk factors were included. The combined effects of mechanical ventilation time, tracheotomy and age were statistically significant (P<0.05), the OR (95% CI) were 1.97 (1.64-2.36), 1.63 (1.21-2.21) and 1.05 (1.03-1.07), respectively. Conclusion: The risk factors for acquired dysphagia in ICU patients reported in this study included mechanical ventilation, tracheotomy and age.

Key words: ICU, dysphagia, risk factors, systematic review

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  • R47
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