ICU患者非计划性拔管危险因素的Meta分析

发布时间：2018-01-04 01:03

  本文关键词：ICU患者非计划性拔管危险因素的Meta分析　出处：《山东医药》2017年16期 　论文类型：期刊论文

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【摘要】：目的系统分析国内外ICU患者非计划性拔管的危险因素。方法计算机检索Pubmed、OVID、Embase、Bio Med Central、CNKI、Wan Fang Data、VIP和CBM数据库,收集建库至2016年8月公开发表的关于ICU患者非计划性拔管的相关文献,发生非计划性拔管者作为观察组、未发生非计划性拔管者作为对照组。采用Revman5.3.5软件对相关数据进行Meta分析。结果纳入16篇文献,其中病例对照研究10篇,队列研究6篇;观察组1 090例,对照组4 802例。Meta分析结果显示,观察组男性比例、入ICU时APACHEⅡ评分≥17分的比例、接受身体约束的比例、慢性阻塞性肺疾病(慢阻肺)发生率、烦躁发生率及应用咪哒唑仑的比例均高于对照组(P均0.05),两组年龄、高血压发生率比较差异均无统计学意义(P均0.05)。结论男性、入ICU时APACHEⅡ评分≥17分、接受身体约束、伴有慢阻肺及烦躁、应用咪哒唑仑是ICU患者非计划性拔管的危险因素。
[Abstract]:Objective to analyze the risk factors of unplanned extubation of ICU patients at home and abroad. CNKI Wan Fang data VIPs and CBM databases were collected and published in August 2016 about the unplanned extubation of ICU patients. The patients with unplanned extubation were used as observation group and those without unplanned extubation as control group. The data were analyzed by Meta with Revman5.3.5 software. The results were included in 16 articles. There were 10 case-control studies and 6 cohort studies. There were 1 090 cases in the observation group and 4 802 cases in the control group. The results of Meta-analysis showed that the proportion of male in the observation group and the proportion of APACHE 鈪，

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