不同角度采集桡动脉血临床效果的Meta分析  

Clinical effects of collecting radial artery blood from different angles:a Meta-analysis

作　　者：赵亚丽 万蕊星 张海军[1] ZHAO Yali;WAN Ruixing;ZHANG Haijun(The First Hospital of Lanzhou University,Key Laboratory of Biotherapy and Regenerative Medicine of Gansu Province,Gansu 730000 China)

机构地区：[1]兰州大学第一医院(麻醉手术科),甘肃省生物治疗与再生医学重点实验室,甘肃730000

出　　处：《循证护理》2023年第20期3616-3620,共5页Chinese Evidence-Based Nursing

基　　金：甘肃省自然科学基金项目,编号:22JR11RA021;甘肃省卫生行业项目,编号:GSWSKY2022-11。

摘　　要：目的:系统评价不同角度采集桡动脉血一次穿刺成功率、局部淤血瘀斑发生率的临床效果。方法:计算机检索PubMed、Web of Science、the Cochrane Library、中国知网、万方数据库和维普数据库,纳入比较不同角度采集桡动脉血的临床效果的随机对照试验,检索时限为2000年1月—2022年3月,并追溯纳入研究的参考文献。由2名研究者按照纳入与排除标准独立筛选文献、提取资料和质量评价,采用RevMan 5.3软件进行Meta分析。结果:共纳入8项随机对照试验,共计1 799例病人。Meta分析结果显示,与采用斜刺法相比,直刺法一次穿刺成功率较高,差异有统计学意义[RR=0.89,95%CI(0.81,0.98),P=0.02];采用斜刺法比直刺法局部瘀血、瘀斑发生率差异无统计学意义[RR=1.66,95%CI(0.48,5.77),P=0.43]。结论:现有证据表明,斜刺法一次穿刺成功率低于直刺法;两组方法穿刺的局部瘀血、瘀斑发生率差异无统计学意义。Objective:To systematically evaluate the clinical effects of different angles in collecting radial artery blood on the success rate of one-time puncture and the incidence of local congestion and ecchymosis.Methods:Compare the clinical effects of collecting radial artery blood from different angles in a randomized controlled trial were retrieved from PubMed,Web of Science,the Cochrane Library,CNKI,WanFang Database,and VIP.The retrieval time was from January 2000 to March 2022,and the references included in the study were retrospectively analyzed.Two researchers independently screened literature,extracted data,and evaluated quality based on inclusion and exclusion criteria,and conducted Meta-analysis using RevMan 5.3 software.Results:A total of 8 randomized controlled trials were included,with a total of 1799 patients.The Meta-analysis results showed that compared with the oblique puncture method,the direct puncture method had a higher one-time puncture success rate,and the difference was statistically significant(RR=0.89,95%CI 0.81-0.98,P=0.02).There was no statistically significant difference in the incidence of local blood stasis and ecchymosis between the oblique needling method and the direct needling method(RR=1.66,95%CI 0.48-5.77,P=0.43).Conclusion:Current evidence suggests that the success rate of oblique puncture is lower than that of direct puncture.There was no significant difference in the incidence of local blood stasis and ecchymosis between the two groups of puncture methods.

关 键 词：动脉穿刺 斜刺法 直刺法 一次穿刺成功率 瘀血 瘀斑 系统评价 META分析 随机对照试验 循证护理 

分 类 号：R472[医药卫生—护理学]