老年慢性病患者逆行与顺行静脉穿刺比较安全性和有效性的meta分析  

Meta analysis of the safety and effectiveness for elderly chronic diseases patients with antegrade and retrograde venous puncture

作　　者：杨永[1] 吴彬[1] 马秋平[1] 覃惠娟[2] 胡艳宁[2] 杨连招[3] 卢洪霞[2] 张瑛[2] 

机构地区：[1]南宁市广西中医药大学护理学院,530022 [2]广西中医药大学附属瑞康医院 [3]广西中医药大学

出　　处：《护理实践与研究》2015年第12期1-3,共3页Nursing Practice and Research

基　　金：广西自然科学基金资助项目(2013GXNSFDA278001);广西自然基金(桂科自[0991120]);广西壮族自治区卫生厅课题(Z2013250)

摘　　要：目的:用meta分析方法从循证医学角度对老年慢性病患者逆行与顺行静脉穿刺安全性和有效性进行分析评价,为临床护理决策提供依据,服务于临床实践。方法:检索MEDLINE、Cochrane图书馆对照试验注册库,EMBASE数据库及CBM、VIP、CNKI、万方数据库,手工检索纳入研究的参考文献按Cochrane协作网推荐的方法进行系统评价。结果:共纳入5篇文献研究共920例患者。纳入研究结果显示,老年慢性病患者逆行静脉穿刺成功率高于顺行静脉穿刺并且逆行静脉穿刺渗出率低于顺行静脉穿刺。结论:逆行静脉穿刺成功率高,渗出率低,可作为老年慢性病患者临床输液治疗的辅助方法。Objective： By meta- analysis from the perspective of evidence- based medicine for elderly retrograde and antegrade venous puncture the safety and efficacy analysis and evaluation of patients with chronic diseases,provide the basis for clinical care decisions,services in clinical practice. Methods：Search MEDLINE,Cochrane Library Central Register of Controlled Trials,EMBASE databases and CBM,VIP,CNKI,Wanfang database,hand searched references of included studies recommended by the Cochrane Collaboration systematic review methods. Results： A total of 5 articles with 920 patients literature were included. Included in the study results showed that elderly patients with chronic venous puncture success rate in retrograde was higher than antegrade and retrograde venipuncture leakage rate was less than antegrade venipuncture. Conclusion： Retrograde venous puncture success rate,low bleed,it can be used as an auxiliary method for elderly patients with chronic clinical transfusion therapy.

关 键 词：逆行静脉穿刺 顺行静脉穿刺 老年人 慢性疾病 META分析 

分 类 号：R472[医药卫生—护理学]