中线导管非计划拔管发生率的Meta分析  

A Meta-analysis of the incidence of unplanned extubation of midline catheters

作　　者：秦凡茹 李育玲[2] 孟效红[3] Qin Fanru;Li Yuling;Meng Xiaohong(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Department of Nursing,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Neurosurgery,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西医科大学第一医院护理部,太原030001 [3]山西医科大学第一医院神经外科,太原030001

出　　处：《中国实用护理杂志》2025年第11期815-823,共9页Chinese Journal of Practical Nursing

摘　　要：目的对中线导管非计划拔管发生现状进行分析,以期为中线导管非计划拔管的预防提供依据。方法计算机检索PubMed、Embase、The Cochrane Library、Web of Science、CINAHL、Scopus、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,收集中线导管非计划拔管的相关研究,检索时间为建库至2024年2月。由2名研究者独立筛选文献、数据提取和质量评价。使用Statal8.0软件进行Meta分析。结果共纳入35篇文献,总样本量7202例。Meta分析结果显示,中线导管非计划拔管的总发生率为15.3%(95%CI12.3%~18.3%)。疼痛是导致非计划拔管的最常见原因,发生率为8.3%(95%CI3.3%~13.2%)。亚组分析结果显示,<18岁、18~59岁、≥60岁患者中线导管非计划拔管发生率分别为17.0%、10.9%、18.0%,高收入国家、中低收入国家中线导管非计划拔管发生率分别为24.4%、3.3%,导管尖端在腋窝静脉附近、胸壁段腋静脉或锁骨下静脉非计划拔管发生率分别为19.3%、3.6%。结论中线导管非计划拔管发生率较高,其中,≥60岁、高收入国家、导管尖端在腋窝静脉附近置管患者非计划拔管发生率更高,提示医护人员应予以重视并制订相关措施,预防非计划拔管的发生。Objective To analyze and evaluate the current situation of unplanned extubation of midline catheters,and to provide a basis for the prevention of unplanned extubation of midline catheters.Methods PubMed,Embase,The Cochrane Library,Web of Science,CINAHL,Scopus,China Biomedical Database,China National Knowledge Infrastructure,Wanfang Database,and VIP database were searched by computer to collect studies on the incidence of unplanned extubation of midline catheters from inception to February,2024.Two reviewers independently screened the literature,extracted the data,and assessed the risk of bias of included studies,and then the meta-analysis was performed by Stata 18.0 software.Results A total of 35 literatures were included,with a total sample size of 7202 cases.Meta-analysis results showed that the overall incidence of unplanned catheter extubation was 15.3%(95%CI 12.3%-18.3%).Pain was the most common cause of unplanned extubation,occurring at 8.3%(95%CI 3.3%-13.2%).Subgroup analysis showed that the incidence of unplanned extubation in patients<18 years old,18-59 years old,and≥60 years old were 17.0%,10.9%,18.0%,respectively.The incidence of unplanned extubation in high-income countries and middle and low-income countries were 24.4%and 3.3%,respectively.The incidence of unplanned extubation of catheter tips near axillary vein,chest wall segment axillary vein,or subclavian vein were 19.3%and 3.6%,respectively.Conclusions The incidence of unplanned extubation of midline catheters is high.Among them,the incidence of unplanned extubation was higher in patients≥60 years of age,high-income countries,and patients with catheter tips placed near axillary veins.It is suggested that medical staff should pay attention to this and formulate relevant measures to prevent the occurrence of unplanned extubation.

关 键 词：META分析 中线导管 非计划拔管 发生率 

分 类 号：R472[医药卫生—护理学]