无针密闭正压接头与肝素帽对静脉留置针输液效果的Meta分析  

No Needle Airtight Positive Pressure Joint with Heparin cap Meta Analysis of the Effect of Intravenous Indwelling Needle Transfusion

作　　者：王必成 张笑 李敏敏 刘俊彪 WANG Bicheng;ZHANG Xiao;LI Minmin;LIU Junbiao(Inner Mongolia Medical University,Hohhot 010050 China;Department of Breast Cancer Surgery,People's Hospital of Inner Mongolia Autonomous Region,Hohhot 010017 China)

机构地区：[1]内蒙古医科大学护理学院,呼和浩特010050 [2]内蒙古自治区人民医院乳腺肿瘤外科,呼和浩特010017

出　　处：《内蒙古医学杂志》2022年第8期927-933,共7页Inner Mongolia Medical Journal

基　　金：内蒙古自治区自然科学基金项目(编号:2020MS08150)。

摘　　要：目的综合评价无针密闭正压接头与肝素帽对静脉留置针输液的效果。方法检索Embase、PubMed、EBSCO全文数据库、万方数据库、中国期刊全文数据库(CN KI)及中国生物医学文献数据库(CBM)发表的有关文献,辅以文献追踪的方法手动检索相关参考文献,纳入2000~2020年发表的有关采用无针密闭正压接头与采用肝素帽进行静脉留置针输液效果比较的随机对照试验(RCT)。按照入选标准严格筛选文献并进行质量评估,对最终入选文献使用Rev Man 5.3软件进行分析。结果最终纳入12项研究的2658例患者。Meta分析结果显示,采用无针密闭正压接头对静脉留置针输液效果优于肝素帽,差异具有统计学意义(P<0.05)。前者可降低导管内回血[RR=0.09,95%CI(0.06,0.13),P<0.00001]、导管堵塞[RR=0.11,95%CI(0.08,0.15),P<0.00001]、周围静脉炎[RR=0.13,95%CI(0.08,0.21),P<0.00001]、延长静脉留置针留置时间[WMD=5.91,95%CI(5.16,6.67),P<0.00001]、减少护理人员扎伤[RR=0.08,95%CI(0.03,0.22),P<0.00001]、减少感染[RR=0.13,95%CI(0.04,0.44),P<0.001]的发生率。结论采用无针密闭正压接头进行静脉输液效果优于肝素帽,但由于纳入的研究有限且质量较低,期待更多有价值的、高质量的临床随机对照试验给予验证。Objective By Meta analysis comparison needle airtight positive pressure joint with heparin infusion effect cap of venous indwelling needle.Method The retrieval between January 2000 and January 2020 Embase,PubMed,EBSCO full text database,the data of online knowledge service platform of ten thousand,China journal full-text database(CNKI)and the Chinese biomedical literature database(CBM)published literatures,supplemented by literature method,tracking manual retrieval relevant references,look for no needle airtight positive pressure joint with heparin cap of venous indwelling needle transfusion effect is randomized controlled trial(RCT).In accordance with the criteria for the strict screening of literature and the literature evaluation,to use the literature on chosen Rev Man 5.3 Meta analysis software.Results Eventually into 12 randomized controlled trial,2658 patients with venous indwelling needle.Meta analysis results showed that,compared with control group,with no needle airtight positive pressure joint can reduce the occurrence of venous indwelling needle intraductal h.[RR=0.09,95%CI(0.06,0.13),P<0.00001].compared with control group,with no needle airtight positive pressure joint can reduce the occurrence of catheter jam[RR=0.11,95%CI(0.08,0.15),P<0.00001].compared with control group,with no needle airtight positive pressure joint can reduce the occurrence of phlebitis[RR=0.13,95%CI(0.08,0.21),P<0.00001].compared with control group,adopting the airtight positive pressure joint can prolong venous indwelling needle indwelling time[WMD=5.91,95%CI(5.16,6.67),P<0.00001].compared with control group,with no needle airtight positive pressure can reduce the incidence of nursing staff injured joint[RR=0.08,95%CI(0.03,0.22),P<0.00001].compared with control group,with no needle airtight positive pressure can reduce the occurrence of infection[RR=0.13,95%CI(0.04,0.44),P=0.001].Conclusion Theexisting evidence suggests that patients with venous indwelling needle used no needle airtight positive pressure joint not only effectiv

关 键 词：无针密闭正压接头 肝素帽 静脉留置针 

分 类 号：R473[医药卫生—护理学]