创伤性低体温患者不同复温措施效果的网状Meta分析

发布时间：2018-01-26 22:48

  本文关键词： 体温变化 多处创伤 急诊室 医院 网状Meta分析　出处：《中华护理杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的用网状Meta分析评价多种复温措施在创伤性低体温患者中的应用效果。方法检索Cochrane Library,Pub Med,EMBASE,Scopus,CINAHL,CBM数据库,中国学术期刊全文数据库,维普资源总库,万方数据知识服务平台等数据库中关于创伤性低体温患者复温的随机对照研究(randomized controlled trials,RCT)及类实验研究(controlled clinical trials,CCT)。用JBI 2008年RCT真实性评价标准及CCT评价标准对文献质量进行评价,并采用ADDIS 1.16.7进行网状Meta分析。结果共纳入7项研究,10项复温措施,共619例患者。结果发现常规毛毯与热空气毯相比,复温后体温差异有统计学意义。从首要结局指标来看,体温恢复效果排名前3位的依次是42℃的碳纤维加热毯,热空气毯,温液输注联合温毯覆盖;从次要结局指标来看,使用热空气毯及温液输注联合温毯后寒颤发生率低于常规毛毯,使用化学加热垫、持续碳纤维加热毯和羊毛毯的患者心率比普通毛毯使用者低。结论创伤性低体温复温措施中,42℃的碳纤维毯的复温效果最好,但本结论还需更大样本的RCT进一步验证。
[Abstract]:Objective to evaluate the effect of various rewarming measures in patients with traumatic hypothermia by reticular Meta analysis. Methods Cochrane Library Pub Med was retrieved. EMBASE ScopusCINAHLN CBM database, full text database of Chinese academic journals, general database of Weip resources. Random controlled trials of patients with traumatic hypothermia in database such as Wanfang data knowledge service platform. RCT) and controlled clinical trials. Using JBI 2008 RCT authenticity evaluation standard and CCT evaluation standard to evaluate the quality of literature. ADDIS 1.16.7 was used to analyze the reticular Meta. The results showed that the routine blanket was compared with the hot air blanket. The difference of body temperature after rewarming was statistically significant. From the primary outcome index, the top 3 of body temperature recovery were carbon fiber heating blanket at 42 鈩，

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