[1]邱亚敏,赫丽琼,唐棠.外周静脉留置针拔管时机的Meta分析[J].解放军护理杂志,2021,38(12):61-64，69.[doi:10.3969/j.issn.1008-9993.2021.12.016]
　QIU Yamin,HE Liqiong,TANG Tang.The Timing of Peripheral Intravenous Catheters Removal:A Meta-Analysis[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):61-64，69.[doi:10.3969/j.issn.1008-9993.2021.12.016]
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外周静脉留置针拔管时机的Meta分析()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年12期
页码:
61-64，69
栏目:
循证护理
出版日期:
2021-12-15

文章信息/Info

Title:
The Timing of Peripheral Intravenous Catheters Removal:A Meta-Analysis
文章编号:
1008-9993(2021)12-0061-05
作者:
邱亚敏; 赫丽琼; 唐棠
陆军军医大学第二附属医院 妇产科,重庆 400037
Author(s):
QIU Yamin; HE Liqiong; TANG Tang
Obstetrics and Gynecology Department, Xinqiao Hospital, Army Medical University, Chongqing 400037, China
关键词:
外周静脉留置针;  拔管;  Meta分析
Keywords:
peripheral intravenous catheters;  removal;  meta-analysis
分类号:
R472.9
DOI:
10.3969/j.issn.1008-9993.2021.12.016
文献标志码:
A
摘要:
目的 系统评价依据临床指征拔除外周静脉留置针与常规拔除外周静脉留置针的应用效果。方法 计算机检索PubMed、Cochrane Library、CINAHL、Embase、中国生物医学文献数据库、中国知网、维普和万方等国内外数据库中有关依据临床指征与常规拔除外周静脉留置针的随机对照试验,并进行Meta分析。结果 共纳入11篇文献,共13 123名患者。Meta分析显示,依据临床指征与常规拔除外周静脉留置针相比,对静脉炎、穿刺局部感染以及导管相关性血流感染发生率无影响(P>0.05),但堵管和药物渗出发生率增加(P<0.05)。结论 依据临床指征拔除外周静脉留置针,留置时间延长且不增加静脉炎、穿刺局部感染和导管相关性血流感染的发生风险,但需加强堵管和药物渗出的监测和评估,以保证患者的安全性。
Abstract:
Objective To assess the application effects of removing peripheral intravenous catheters when clinically indicated compared with removing the catheter routinely.Methods All randomized controlled trials(RCTs)that reported removing peripheral intravenous catheters when clinically indicated and removing the catheters routinely in the databases including PubMed, Cochrane Library, Embase,CINAHL, CBM, CNKI, VIP, and Wanfang were included in the research, and a meta-analysis were conducted.Results A total of 11 articles, with a total of 13123 patients were included in the analysis. Meta-analysis results showed that compared with removing peripheral intravenous catheters routinely,removing peripheral intravenous catheters when clinically indicated had no effect on the incidence of phlebitis,local infection, and peripheral intravenous catheter related bloodstream infection(P>0.05),but the incidence of occlusion and infiltration was increased(P<0.05).Conclusions Removing peripheral intravenous catheters when clinically indicated can extended the indwelling time of peripheral intravenous catheters and had no effect on the incidence of phlebitis, local infection and peripheral intravenous catheter related bloodstream infection, but the incidence of occlusion and infiltration was increased. In nursing practice, it is necessary to strengthen the monitoring and evaluation of occlusion and infiltration based on clinical indications.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-04-08 【 修回日期 】 2021-11-18
【 作者简介 】 邱亚敏,本科,护师,从事妇科护理工作
【 通信作者 】 唐棠,电话:023-68774146
更新日期/Last Update: 2021-12-20