磁导航引导鼻空肠管置管在危重症患者中应用效果的Meta分析
Meta-analysis of application effects of magnetic navigation-guided nasojejunal tube placement in critically ill patients
俞荷花 1蒋卓娟 1李文放 1张琦琦 1丁菊飞 1雷培培1
作者信息
- 1. 海军军医大学第二附属医院急诊重症医学科 上海 200003
- 折叠
摘要
目的:通过文献检索分析评价磁导航引导鼻空肠管置管技术在危重症患者鼻空肠管置管中的应用效果.方法:检索中国知网、万方、维普和中国生物医学文献服务系统中文数据库,以及外文数据库PubMed、CINAHL、Cochrane Library、Web of Science、Embase中关于磁导航引导鼻空肠管置管技术在危重症患者中应用的随机对照试验研究文献,检索时间为2000年1月至2023年9月.检索文献950篇,按照文献纳入与排除标准筛选文献,并对文献进行质量评价,运用RevMan 5.4.1软件对文献中的置管成功率、置管成功所需时间,患者体征恢复时间和满意度4项结局指标进行Meta分析,比较磁导航引导鼻空肠管置管与床旁盲插鼻空肠管的差异.结果:最终纳入7篇文献的7项随机对照试验研究,其中中文文献4篇,英文文献3篇,7篇文献涉及682例患者.磁导航引导鼻空肠管置管成功率高于床旁盲插鼻空肠管,差异有统计学意义[优势比(OR)=4.78,95%置信区间(CI)为(2.16～10.58),P＜0.0001];磁导航引导鼻空肠管置管所需时间少于床旁盲插鼻空肠管,差异有统计学意义[均数差(MD)=-12.91,95%CI(-22.93～-2.90),P＜0.00001];磁导航引导鼻空肠管置管患者体征恢复时间少于床旁盲插鼻空肠管,差异有统计学意义[MD=-9.11,95%CI(-12.09～-6.13,P＜0.00001];磁导航引导鼻空肠管置管的患者满意度高于床旁盲插鼻空肠管患者,差异有统计学意义[OR=11.61,95%CI(3.96～34.01),P＜0.00001].结论:磁导航引导鼻空肠管置管相比床旁盲插鼻空肠管,可显著提高危重症患者鼻空肠管置管成功率,减少鼻空肠管置管成功所需时间和患者体征恢复时间,提高患者满意度.
Abstract
Objective:To analyze and evaluate the application effect of magnetic navigation-guided nasojejunal tube placement in critically ill patients by literature retrieval.Methods:The Chinese databases of CNKI,Wanfang,VIP and Chinese Biomedical Literature Service System were searched,as well as the literature on randomized controlled trials of magneto-guided nasojejunal tube placement in critically ill patients in foreign language databases of PubMed,CINAHL,Cochrane Library,Web of Science,and Embase,the search period was from January 2000 to September 2023.The literature were screened according to the inclusion and exclusion criteria,and the quality of the literature was evaluated.RevMan 5.4.1 software was used to conduct a meta-analysis of the four outcomes in the literature:success rate of placement,time required for successful placement,time to recovery of vital signs,and patient satisfaction.Results:A total of 7 randomized controlled trials of 7 studies were included,including 4 Chinese studies and 3 English studies,involving 682 patients.The success rate of magnetic navigation-guided nasojejunal tube placement was higher than that of bedside blind nasojejunal tube placement,the difference was statistically significant[OR=4.78,95%CI(2.16～10.58),P<0.0001].The time required for magnetic navigation guided nasojejunal tube placement was less than that of the bedside blind nasojejunal tube placemen,the difference was statistically significant[MD=-12.91,95%CI(-22.93～-2.90,P<0.00001].The time required for recovery of vital signs in patients with magnetic navigation guided nasojejunal tube placement was less than that of the bedside blind nasojejunal tube placemen,the difference was statistically significant[MD=-9.11,95%CI(-12.09～-6.13,P<0.00001].The satisfaction of patients with the magnetic navigation-guided nasojejunal tube placement was higher than that of patients with the bedside blind nasojejunal tube placement,the difference was statistically significant[OR=11.61,95%CI(3.96～34.01),P<0.00001].Conclusion:Compared with bedside blind nasojejunal tube placement,magnetic navigation-guided nasojejunal tube placement can significantly improve the success rate of nasojejunal tube placement in critically ill patients,reduce the time required for successful nasojejunal tube placement,reduce the recovery time of patients'vital signs,and improve patient satisfaction.
关键词
磁导航/鼻空肠管置管/危重症患者/Meta分析Key words
Magnetic navigation/Nasojejunal tube placement/Critically ill patient/Meta-analysis引用本文复制引用
基金项目
上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC22022205)
上海申康医院发展中心技术规范化管理和推广项目(SHDC22022224)
出版年
2024
国家科技期刊平台
NSTL
万方数据