目的 系统评价在静脉输液过程中患者应用中等长度导管(MC)与经外周静脉置入中心静脉导管(PICC)静脉炎的发生情况.方法 计算机检索Web of Science、PubMed、Embase、Scopus、Cochrane Library、ProQuest、CBM、中国知网、维普、万方数据库中MC与PICC静脉炎发生率的相关研究,检索时限自建库起至2023年7月.根据纳入与排除标准筛选,对符合标准的研究进行质量评价后,采用RevMan5.4软件进行Meta分析.结果 共纳入17项研究,包括2619例患者.Meta分析结果显示,MC组静脉炎发生率与PICC组相比,差异无统计学意义(RR=0.71,95％CI:0.44～1.15,P=0.17).肿瘤患者亚组MC组静脉炎发生率低于PICC组(RR=0.34,95％CI:0.15～0.77,P=0.01),其他研究人群亚组MC组静脉炎发生率与PICC组比较,差异无统计学意义(P>0.05).结论 在一定观察时间范围内,MC与PICC在静脉炎发生率方面无明显差别,在临床实践中,建议医护人员结合疾病情况与患者意愿,合理选择静脉血管通路装置.
Meta-analysis of the Incidence of Phlebitis in Midline Catheter and Peripherally Inserted Central Catheter
Objective To systematically evaluate the incidence of phlebitis in patients with midline catheter (MC) and peripherally inserted central catheter (PICC) during intravenous infusion.Methods Web of Science,PubMed,Embase,Scopus,Cochrane Library,ProQuest,CBM,CNKI,VIP and Wanfang databases were searched for studies on the relationship between MC and the incidence of PICC phlebitis from the establishment of the database to July 2023. According to the inclusion and exclusion criteria,the quality of the studies that met the criteria was evaluated,and Meta-analysis was performed using RevMan5.4 software.Results A total of 17 studies were included,including 2619 patients. The results of meta-analysis showed that there was no significant difference in the incidence of phlebitis between the MC group and the PICC group ( RR=0.71,95％CI:0.44-1.15,P=0.17);the incidence of phlebitis in the MC group was lower than that in the PICC group (RR=0.34,95％CI:0.15-0.77,P=0.01);there was no significant difference in the incidence of phlebitis between the MC group and the PICC group in other study population subgroups (P>0.05). Conclusion In a certain observation time range,there is no significant difference in the incidence of phlebitis between MC and PICC. Thus,in clinical practice,it is recommended that medical staff reasonably select venous vascular access devices based on disease conditions and patient wishes.
Midline catheterPeripherally inserted central catheterPhlebitis
万方数据
维普
