改良胃管置入长度检测措施对新生儿鼻饲作用的Meta分析  

A Meta-analysis of the Effect of Modified Gastric Tube Length Measurement on Nasal Feeding of Newborns

作　　者：罗辉 刘雯雯 张慧 LUO Hui;LIU Wen-wen;ZHANG Hui(Department of Neonatology, Shiyan People's Hospital, Bao'an District, Shenzhen, Guangdong 518000)

机构地区：[1]深圳市宝安区石岩人民医院新生儿科,深圳518000

出　　处：《临床护理杂志》2020年第2期4-8,共5页Journal of Clinical Nursing

摘　　要：目的研究改良胃管置入长度检测措施对新生儿鼻饲作用的Meta分析。方法通过Cochrane系统评价方式,检索万方数据库,CNKI中国学术期刊网,维普中文科技期刊全文数据库,PubMed,Medline,Embase,Cochrane,Google Scholar数据库。纳入改良胃管置入长度检测措施应用于新生儿鼻饲的相关研究,由两名研究人员参照Cochrane系统评价法完成纳入文献的质量评估以及相关资料提取,并采用RevMan 5.2软件进行数据的分析。结果首次筛检共获取文献2384篇,去重后初步纳入文献共41篇,最终纳入文献8篇。所有纳入文献的总人数为1052例,包括观察组512例,对照组540例。本研究纳入的8篇文献质量均为B级。评价观察组和对照组对胃管置管成功率影响的文献有6篇,观察组胃管置管成功率显著高于对照组(P<0.001)。研究观察组和对照组胃食管返流发生率的文献有5篇,观察组胃食管返流发生率明显低于对照组(P<0.001)。研究观察组和对照组恶心呕吐发生率的文献有4篇,观察组恶心呕吐发生率明显低于对照组(P<0.001)。研究观察组和对照组腹胀发生率的文献有3篇,观察组腹胀发生率明显低于对照组(P<0.001)。研究观察组和对照组胃出血的文献仅有2篇,观察组胃出血发生率明显低于对照组(P<0.001)。结论改良胃管置入长度检测措施对新生儿鼻饲作用相较于传统胃管置入长度检测更佳,安全性更好,值得临床推广应用。Objective To study the effect of modified gastric tube length measurement on nasal feeding of newborns and to conduct Meta analysis.Methods Through Cochrane systematic evaluation,wan fang database,CNKI China academic journal network,weipu full text database,PubMed,Medline,Embase,Cochrane and Google Scholar were searched.The included modified gastric tube length test measures were applied to the relevant studies of neonatal nasal feeding.Two researchers completed the quality assessment of the included literatures and relevant data extraction with reference to Cochrane systematic evaluation method,and RevMan 5.2 software was used for data analysis.Results A total of 2384 literatures were obtained through the first screening,41 literatures were initially included,and 8 literatures were finally included.The total number of all included literatures was 1052,including 512 cases in the observation group and 540 cases in the control group.The quality of the 8 literatures included in this study was all grade B.There were 6 articles which evaluated the success rate of gastric tube catheterization,among which the success rate of gastric tube catheterization in the observation group was significantly higher than that in the control group(P<0.001).There were 5 literatures on the incidence of gastroesophageal reflux of the research in the observation group and the control group,and the incidence of gastroesophageal reflux in the observation group was significantly lower than that in the control group(P<0.001).The incidence of nausea and vomiting in the observation group and the control group was significantly lower than that in the control group(P<0.001).The incidence of abdominal distension in the observation group and the control group was significantly lower than that in the control group(P<0.001).The incidence of gastric bleeding in the observation group was significantly lower than that in the control group(P<0.001).Conclusion The improved measure of gastric tube length is better than the traditional measure of gastric tu

关 键 词：鼻胃管 鼻饲 新生儿 META分析 

分 类 号：R472.91[医药卫生—护理学] R722.1[医药卫生—临床医学]