术后使用数字化胸腔引流系统的肺切除患者胸腔引流量拔除标准的Meta分析  

A meta-analysis of the criteria for chest drainage removal in patients with pneumonectomy using digital thoracic drainage system after surgery

作　　者：潘中芹 萨仁娜 陈銮香 PAN Zhongqin;SA Renna;CHEN Luanxiang(Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen,518052,Guangdong China)

机构地区：[1]华中科技大学协和深圳医院胸外科,深圳518052

出　　处：《当代护士（下旬刊）》2021年第11期47-53,共7页Modern Nurse

摘　　要：目的系统评价肺切除术后使用数字化胸腔引流系统,胸腔引流量450 mL/24 h以下拔除胸腔引流管的安全性。方法检索PubMed,Embase,Web of Science,Cochrane Library,SinoMed,中国知网,万方数据库,对符合纳入标准的研究文献,以RevMan5.3.5软件进行统计分析。结果共纳入文献10篇,共计1570例患者。数字化胸腔引流系统组在胸腔引流管留置时间、住院时间、持续漏气发生率等方面均优于水封式传统引流装置组(均P<0.05)。但拔管后并发症发生率无显著性差异(P>0.05)。按胸腔引流量拔除标准将纳入文献分为小组1(≤300 mL/24 h)和小组2(>300 mL/24 h)2组进行亚组分析,结果不管引流量拔除标准是否超过300 mL/24 h,置管时间、住院时间、持续漏气发生率及拔管后并发症发生率均无显著差异(均P>0.05)。结论肺切除术后推荐使用数字化胸腔引流系统,胸腔引流量拔除标准高达450 mL/24 h是安全可行的。Objective To investigate the effect of using digital thoracic drainage system after pneumonectomy.Methods PubMed,Embase,Web of Science,Cochrane Library,SinoMed,CNKI,and Wangfang were searched and the literature that met the inclusion criteria was statisticlly analyzed by RevMan 5.3.5 softmare.Results A total of 10 articles were included,including 1570 patients.The digital thoracic drainage system group was superior to the water seal traditional drainage group in terms of chest tube duration,length of hospital stay,and incidence of prolonged air leak duration(all P<0.05).However,there was no significant difference in the incidence of complications(P>0.05).The included literature was divided into Group1(≤300 mL/24 h)and Group2(>300 mL/24 h)for subgroup analysis according to the chest drainage criteria.The result was there were no significant differences in chest tube duration,hospital stay,the incidence of prolonged air leak duration,and the incidence of complications(all P>0.05),regardless of whether the drainage volume exceeded 300 mL/24 h.Conclusion The digital thoracic drainage system is safe and reliable,and the fluid drainage criteria 450 mL/24 h for chest tube removal is feasible.

关 键 词：肺切除术 胸腔引流量拔除标准 水封式传统引流系统 数字化胸腔引流系统 

分 类 号：R473.6[医药卫生—护理学]