中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2010年
24期
2857-2860
,共4页
小儿%静脉留置针%肝素钠盐水%生理盐水%封管
小兒%靜脈留置針%肝素鈉鹽水%生理鹽水%封管
소인%정맥류치침%간소납염수%생리염수%봉관
Children%Intravenous indwelling needle%Heparin saline%Saline%Sealing
目的 比较小儿静脉留置针生理盐水封管和肝素盐水封管的临床效果.方法 通过数据库检索相关文献,采用Review Manager 4.2分析软件进行Meta分析,比较小儿静脉留置针生理盐水封管和肝素盐水封管静脉炎发生率、局部渗漏发生率、堵管发生率和留置时间长短等四项指标.结果 9篇文献1 250例患儿纳入研究,Meta分析结果显示:两组静脉炎的发生率(OR=1.35,95%CI:0.60～3.02,P=0.47)和局部渗漏发生率(OR=0.86,95%CI:0.50～1.46,P=0.57)差异无统计学意义;肝素盐水组留置时间长于生理盐水组(WMD=0.53,95% CI:0.04-1.21,P:0.03),堵管发生率低于生理盐水组(OR=0.31,95%CI:0.13-0.76,P=0.01),差异具有统计学意义.结论 与生理盐水相比,肝素盐水小儿静脉留置针封管的堵管发牛率低、留置时间长,静脉炎和局部渗漏的发生率差异无统计学意义.
目的 比較小兒靜脈留置針生理鹽水封管和肝素鹽水封管的臨床效果.方法 通過數據庫檢索相關文獻,採用Review Manager 4.2分析軟件進行Meta分析,比較小兒靜脈留置針生理鹽水封管和肝素鹽水封管靜脈炎髮生率、跼部滲漏髮生率、堵管髮生率和留置時間長短等四項指標.結果 9篇文獻1 250例患兒納入研究,Meta分析結果顯示:兩組靜脈炎的髮生率(OR=1.35,95%CI:0.60～3.02,P=0.47)和跼部滲漏髮生率(OR=0.86,95%CI:0.50～1.46,P=0.57)差異無統計學意義;肝素鹽水組留置時間長于生理鹽水組(WMD=0.53,95% CI:0.04-1.21,P:0.03),堵管髮生率低于生理鹽水組(OR=0.31,95%CI:0.13-0.76,P=0.01),差異具有統計學意義.結論 與生理鹽水相比,肝素鹽水小兒靜脈留置針封管的堵管髮牛率低、留置時間長,靜脈炎和跼部滲漏的髮生率差異無統計學意義.
목적 비교소인정맥류치침생리염수봉관화간소염수봉관적림상효과.방법 통과수거고검색상관문헌,채용Review Manager 4.2분석연건진행Meta분석,비교소인정맥류치침생리염수봉관화간소염수봉관정맥염발생솔、국부삼루발생솔、도관발생솔화류치시간장단등사항지표.결과 9편문헌1 250례환인납입연구,Meta분석결과현시:량조정맥염적발생솔(OR=1.35,95%CI:0.60～3.02,P=0.47)화국부삼루발생솔(OR=0.86,95%CI:0.50～1.46,P=0.57)차이무통계학의의;간소염수조류치시간장우생리염수조(WMD=0.53,95% CI:0.04-1.21,P:0.03),도관발생솔저우생리염수조(OR=0.31,95%CI:0.13-0.76,P=0.01),차이구유통계학의의.결론 여생리염수상비,간소염수소인정맥류치침봉관적도관발우솔저、류치시간장,정맥염화국부삼루적발생솔차이무통계학의의.
Objective To compare the clinical effect of saline and heparin saline for intravenous indwelling needle in children. Methods To retrieval related literatures by database and analyze the literatures by Meta-analysis using software Review Manager 4. 2 .To compare the four indexes including phlebitis rate, local leakage rate, catheter blockage rate and indwelling time. Results 1250 cases in 9 literatures were collected in the study. Meta-analysis showed that: the difference was not statistically significant in the two groups of phlebitis rate (OR = 1.35, 95 % CI: 0. 60～3. 02, P = 0. 47) and the local leakage rate ( OR = 0. 86, 95% CI:0.50～1.46, P=0. 57) ; Indwelling time was longer in heparin saline group( WMD =0.53, 95% CI: 0.04 - 1.21, P =0. 03); catheter blockage rate was lower in heparin saline group( OR =0.31, 95% CI:0. 13～0. 76, P = 0. 01 ) , the differences were statistically significant. Conclusions Compared with the saline group, heparin saline group had lower catheter blockage rate and longer indwelling time, there was no statistical difference in phlebitis rate and local leakage rate of two groups.
