不同负压吸痰对重型颅脑损伤患者影响的Meta分析

发布时间：2018-07-12 09:10

  本文选题：重型颅脑损伤 + 负压吸痰　； 参考：《护理学杂志》2016年12期

【摘要】：目的探讨不同负压吸痰对于重型颅脑损伤患者的影响。方法收集国内外关于不同负压吸痰用于重型颅脑损伤患者的随机对照试验(RCT)文献,按Cochrane协作网的系统评价方法筛选文献、评价纳入文献质量,使用RevMan5.3软件进行统计分析。结果共纳入7篇文献,4篇文献质量评价为C级,3篇为B级;纳入373例研究对象,其中试验组178例,对照组195例;Meta分析显示,吸痰负压≤-20kPa与吸痰负压-20kPa相比,可以减少对颅内压的影响[SMD=-1.61,95%CI(-3.16,-0.07),P=0.04],减少对心率的影响[SMD=-3.17,95%CI(-6.40,0.07),P=0.05],减少对平均动脉压的影响[SMD=-1.23,95%CI(-2.40,-0.05),P=0.04];使用不同负压进行吸痰,患者的血氧饱和度差异无统计学意义[SMD=-0.24,95%CI(-0.56,0.08),P=0.14],吸痰彻底得分差异无统计学意义[SMD=-0.03,95%CI(-0.25,0.31),P=0.86]。结论对重型颅脑损伤患者采用≤-20kPa的负压进行吸痰,对患者颅内压、心率、平均动脉压的影响小于采用-20kPa的负压吸痰,两者吸痰效果无差异。
[Abstract]:Objective to investigate the effect of different negative pressure on patients with severe craniocerebral injury. Methods A randomized controlled trial (RCT) with different negative pressure aspiration for patients with severe craniocerebral injury was collected. The literature was screened according to the systematic evaluation method of Cochrane Cooperative Network, and the quality of the literature was included in the evaluation, and the statistical analysis was carried out with RevMan5.3 software. Results A total of 7 articles and 4 articles were evaluated as C grade and 3 articles as B grade, and 373 subjects were included, including 178 cases in the experimental group and 195 cases in the control group. The results of meta-analysis showed that negative pressure of sucking sputum 鈮，

本文编号：2116666