水胶体敷料预防PICC患者机械性静脉炎效果的meta分析

A system review of the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis: meta-analysis

目的 :系统评价水胶体敷料对于PICC患者机械性静脉炎的预防效果。方法 :计算机检索Cochrane Database of Systematic Reviews、JBI Database of Systematic Review、EMBase、Pub Med、中国生物医学文献数据库、万方数据库和中国学术期刊全文数据库中关于水胶体敷料对于预防PICC患者机械性静脉炎效果的随机对照试验(RCT)和半随机对照试验(q-RCT),同时筛检纳入文献的参考文献。由2名研究者对文献质量进行严格评价和资料提取,对符合质量标准的RCT进行meta分析。结果 :共纳入9篇文献,meta分析的结果显示水胶体敷料能降低PICC患者机械性静脉炎的发生率。结论 :水胶体敷料的使用对于预防PICC机械性静脉炎的发生具有显著效果,具有一定临床推广意义。

Objective： To systematically evaluate the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis. Methods： The authors searched the Cochrane Database of Systematic Reviews, JBI Database of Systematic Review, EMBase, Pub Med, CBMdisc, Wanfang Data and CNKI to collect randomized controlled trials（RCTs） and quasi-Randomized Controlled Trials（q-RCTs） which studied the effects of hydrocolloid dressing in preventing Peripherally Inserted Central Catheter-related mechanical phlebitis. The quality of RCTs and q-RCT were critically appraised and data were extracted by 2 reviewers independently. Meta-analyses were conducted for the eligible RCTs. Results： 9 RCTs were included. The meta-analysis had showed that hydrocolloid dressing could decrease the rate of Peripherally Inserted Central Catheter-related mechanical phlebitis significantly. Conclusion： Hydrocolloid dressing was effective to prevent Peripherally Inserted Central Catheter-related mechanical phlebitis.