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不同敷料用于PICC穿刺点感染防治的网状Meta分析

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目的 探讨应用不同敷料防治经外用静脉置入中心静脉导管(PICC)穿刺点感染的效果。方法 计算机检索PubMed、the Cochrane library、CBM、中国知网(CNKI)、维普(VIP)和万方(Wanfang Data)数据库有关敷料预防和治疗PICC穿刺点感染的随机对照试验,并筛检纳入文献的参考文献,检索时间从建库至2022年10月31日。对文献进行筛选和资料提取,经过质量评价后,对符合纳入标准的研究采用ADDIS 1。16。6软件进行网状meta分析。结果 最终纳入21篇文献,网状meta分析果显示:预防PICC穿刺点处感染效果最佳的是聚氨酯泡沫敷料,其次为藻酸盐敷料、软聚硅酮敷料、纳米银敷料、氯已定敷料。结论 根据现有结果表明,在预防PICC穿刺点感染方面聚氨酯泡沫敷料及藻酸盐敷料优于其他敷料。
The reticular Meta-analysis on different dressings for preventing and treating infections at PICC catheter insertion points
Objective To explore the effect of using different dressings to prevent and treat PICC puncture site in-fection.Method PubMed,the Cochrane library,CBM,China National Knowledge Infrastructure(CNKI),VIP,and Wanfang Data databases were searched by the computor for randomized controlled trials on the prevention and treat-ment of PICC puncture site infections with dressings,and the references of included literature were screened,and the search was conducted from database establishment to October 31,2022.After screening and extraction of litera-ture,and conducting quality evaluation,a mesh Meta-analysis was conducted by using ADDIS 1.16.6 software on studies that met the inclusion criteria.Results A total of 21 literatures were finally included,and the reticular Meta-analysis results showed that the best effect of preventing infection at PICC puncture points was polyurethane foam dressing,followed by alginate dressing,soft polysiloxane dressing,nano silver dressing,and chlorhexidine dress-ing.Conclusion Based on existing results,it is indicated that the cured dressing and alginate dressing are superior to other dressings in preventing PICC puncture site infection.

peripherally inserted central cathetercomplicationsinfection at the site of placementdress-ingswound careevidence-based nursing

陈泽方、莫霖、沈雨晴、刘涛、曾燕

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重庆医科大学附属儿童医院国家儿童健康与疾病临床医学研究中心儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室护理部,重庆 400014

重庆医科大学附属儿童医院国家儿童健康与疾病临床医学研究中心儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室门诊部,重庆 400014

经外周静脉置入中心静脉导管 并发症 置管处感染 敷料 伤口护理 循证护理

重庆市自然科学基金面上项目

CSTB2022NSCQ-MSX0082

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(2)
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