目的 总结ICU患者并发口渴的影响因素,为临床医护人员及早识别口渴风险人群,以便为进行及时干预提供循证医学的依据.方法 计算机检索美国国立医学图书馆PubMed数据库、Cochrane图书馆数据库、科学网(Web of Science)、荷兰医学文摘EMbase数据库、中国生物医学文献服务系统(SinoMed)、中国知网(CNKI)、维普中文科技期刊数据库(VIP)和万方数据库,收集自建库至2023年1月有关ICU患者并发口渴的研究,由2名研究员对文献进行资料提取和质量评价,使用RevMan5.3软件进行Meta分析.结果 共纳入8篇文献,涉及1561例ICU患者,提取33项危险因素.Meta分析结果显示,饮酒史[OR=3.31,95％CI(1.99,5.51),P＜0.000 01]、吸烟史[OR=2.79,95％CI(2.12,3.65),P＜0.0001]、利尿剂[OR=4.72,95％CI(2.16,10.34),P=0.0001]、呼吸频率[OR=3.59,95％CI(1.61,8.01),P=0.002]、是否首次使用机械通气[OR=1.12,95％CI(1.03,1.52),P=0.005]、面罩舒适度[OR=3.5,95％CI(1.58,7.74),P=0.002]是ICU患者并发口渴的危险因素.结论 ICU患者发生口渴与饮酒史、吸烟史、利尿剂、呼吸频率、是否首次使用机械通气、面罩舒适度多种因素相关,应尽早识别相关危险因素,采取预防措施降低口渴发生及其严重程度.
Meta-analysis of Influencing Factors of Thirst in ICU Patients
Objective To summarize the influencing factors of ICU patients complicated with thirst,so as to provide evidence-based medicine for clinical medical staff to identify the population at risk of thirst as early as possible,so as to provide evidence-based medicine for timely intervention.Methods PubMed database,Cochrane library database,Web of Science,EMbase database,SinoMed,CNKI,VIP and Wanfang database were searched by computer to collect the studies on ICU patients with thirst from the establishment of the database to January 2023.Two researchers extracted the data and evaluated the quality of the literature.Meta-analysis was performed using RevMan5.3 software.Results A total of 8 articles were included,involving 1561 ICU patients,and 33 risk factors were extracted.Meta-analysis results showed that drinking history[OR=3.31,95％CI(1.99,5.51),P＜0.000 01],smoking history[OR=2.79,95％CI(2.12,3.65),P＜0.0001],diuretics[OR=4.72,95％CI(2.16,10.34),P=0.0001],respiratory rate[OR=3.59,95％CI(1.61,8.01),P=0.002],whether to use mechanical ventilation for the first time[OR=1.12,95％CI(1.03,1.52),P=0.005],mask comfort[OR=3.5,95％CI(1.58,7.74),P=0.002]were risk factors for ICU patients with thirst.Conclusion The occurrence of thirst in ICU patients is related to many factors,such as drinking history,smoking history,diuretics,respiratory rate,whether to use mechanical ventilation for the first time,and mask comfort.Relevant risk factors should be identified as soon as possible,and preventive measures should be taken to reduce the occurrence and severity of thirst.
万方数据
维普
