腋静脉留置针在新生儿领域应用效果的Meta分析  

Effectiveness of indwelling venous access through the axillary vein in the field of infants:A Meta-analysis

作　　者：郭薇 刘淑敏 周相利 柯炜杰 吴碧玉[3] GUO Wei;LIU Shumin;ZHOU Xiangli;KE Weijie;WU Biyu(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China;the Peopele's Hospital of Pengzhou,Pengzhou,Sichuan 610000,China;Xiamen Hospital of Traditional Chinese Medicine,Xiamen,Fujian 361001,China)

机构地区：[1]福建中医药大学护理学院,福建福州350122 [2]彭州市人民医院,四川彭州610000 [3]厦门市中医院,福建厦门361001

出　　处：《中国优生与遗传杂志》2023年第9期1940-1946,共7页Chinese Journal of Birth Health & Heredity

基　　金：厦门市医疗卫生指导性项目(3502Z20199056)。

摘　　要：目的 系统评价腋静脉留置针在新生儿领域的临床应用效果,为新生儿静脉通路的建立提供参考。方法 检索PubMed、Web of Science、the Cochrane Library、CINAHL Complete、SinoMed、中国知网、维普等数据库关于新生儿腋静脉留置针应用的文献,检索时间为各数据库建库至2022年5月,采用RevMan5.4进行Meta分析。结果 纳入16篇文献,包括1980例患者;结果显示,新生儿腋静脉留置针在一次性穿刺成功率[RR=1.20,95%CI(1.14,1.26),P<0.00001]、留置时间[MD=2.87,95%CI(2.77,2.98),P<0.00001]、导管堵塞[RR=0.28,95%CI(0.17,0.46),P<0.00001]、导管脱落[RR=0.13,95%CI(0.06,0.31),P<0.00001]、静脉炎[RR=0.20,95%CI(0.09,0.42),P<0.0001]、液体外渗[RR=0.33,95%CI(0.20,0.55),P<0.0001]、局部红肿发生率[RR=0.19,95%CI(0.09,0.40),P<0.0001]方面均显著优于对照组。结论 新生儿腋静脉留置针的应用可提高一次性穿刺成功率,增加留置时间,降低各种不良反应发生率。Objective To systematically evaluate the clinical effect of indwelling venous access through the axillary vein in the field of infants,and to provide reference for the establishment of neonatal venous access.Methods We searched a number of databases such as PubMed,Web of Science,the Cochrane Library,CINAHL Complete,SinoMed,CNKI,VIP from inception to May 2022,and Meta-analysis was performed using RevMan 5.4 software.Results sixteen studies were included,including 1980 patients.The results showed that the axillary vein group success rate of one-time puncture[RR=1.20,95%CI(1.14,1.26),P<0.00001],indwells time[MD=2.87,95%CI(2.77,2.98),P<0.00001],catheter blockage[RR=0.28,95%CI(0.17,0.46),P<0.00001],catheter shedding[RR=0.13,95%CI(0.06,0.31),P<0.00001],phlebitis[RR=0.20,95%CI(0.09,0.42),P<0.0001],liquid extravasation[RR=0.33,95%CI(0.20,0.55),P<0.0001]and the incidence of local swelling[RR=0.19,95%CI(0.09,0.40),P<0.0001]were significantly better than the control group.Conclusion The application of neonatal axillary vein indwelling venous access can improve the success rate of one-time puncture,increase the indwelling time and reduce the incidence of various adverse reactions.

关 键 词：新生儿 腋静脉 留置针 META分析 系统评价 

分 类 号：R473.72[医药卫生—护理学]