中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
14期
14-19
,共6页
刷牙%机械通气%呼吸机相关性肺炎%系统评价
刷牙%機械通氣%呼吸機相關性肺炎%繫統評價
쇄아%궤계통기%호흡궤상관성폐염%계통평개
Toothbrushing%Mechanical ventilation%Ventilator-associated pneumonia%Systematic review
目的 系统评价刷牙对预防机械通气患者呼吸机相关性肺炎(VAP)的效果.方法 电子检索Cochrane图书馆、Pubmed、Embase、中国生物医学文献数据库、中国期刊全文数据库、万方数据库,结合手工检索,检索时间从创建到2013年4月30日,纳入刷牙对预防机械通气患者VAP效果的随机对照实验(RCT).由2名评价者单独进行文献的筛选、质量评价和数据提取,并交叉核对,采用Revman5.0软件进行Meta分析,对于无法合并的数据,采用描述性分析,应用GRADE系统推荐的分级方法评价证据质量.结果 共纳入8个RCT.Meta分析结果显示,刷牙组与对照组相比,VAP的发病率、口腔异味和口腔溃疡情况比较差异有统计学意义,但2组在死亡率上比较差异无统计学意义.结论 刷牙可以有效降低VAP的发生率,改善口腔异味以及口腔溃疡的状况.
目的 繫統評價刷牙對預防機械通氣患者呼吸機相關性肺炎(VAP)的效果.方法 電子檢索Cochrane圖書館、Pubmed、Embase、中國生物醫學文獻數據庫、中國期刊全文數據庫、萬方數據庫,結閤手工檢索,檢索時間從創建到2013年4月30日,納入刷牙對預防機械通氣患者VAP效果的隨機對照實驗(RCT).由2名評價者單獨進行文獻的篩選、質量評價和數據提取,併交扠覈對,採用Revman5.0軟件進行Meta分析,對于無法閤併的數據,採用描述性分析,應用GRADE繫統推薦的分級方法評價證據質量.結果 共納入8箇RCT.Meta分析結果顯示,刷牙組與對照組相比,VAP的髮病率、口腔異味和口腔潰瘍情況比較差異有統計學意義,但2組在死亡率上比較差異無統計學意義.結論 刷牙可以有效降低VAP的髮生率,改善口腔異味以及口腔潰瘍的狀況.
목적 계통평개쇄아대예방궤계통기환자호흡궤상관성폐염(VAP)적효과.방법 전자검색Cochrane도서관、Pubmed、Embase、중국생물의학문헌수거고、중국기간전문수거고、만방수거고,결합수공검색,검색시간종창건도2013년4월30일,납입쇄아대예방궤계통기환자VAP효과적수궤대조실험(RCT).유2명평개자단독진행문헌적사선、질량평개화수거제취,병교차핵대,채용Revman5.0연건진행Meta분석,대우무법합병적수거,채용묘술성분석,응용GRADE계통추천적분급방법평개증거질량.결과 공납입8개RCT.Meta분석결과현시,쇄아조여대조조상비,VAP적발병솔、구강이미화구강궤양정황비교차이유통계학의의,단2조재사망솔상비교차이무통계학의의.결론 쇄아가이유효강저VAP적발생솔,개선구강이미이급구강궤양적상황.
Objective To study the effect of toothbrushing for ventilator-associated pneumonia (VAP) in mechanically ventilated patients.Methods We searched Cochrane library,Pubmed,Embase,CBM,CNKI and Wanfang data.All searches were updated on April 30,2013.We also performed a manual search of the RCTs of toothbrushing for VAP.At least two reviewers independently screened the studies for eligibility,evaluated the quality,and extracted the data from the eligible literatures,with a cross-check to confirm accuracy.Different views were settled by a third party.The data had Meta-analysis by software Revman 5.0,and to those data which could not be conversed or merged,they underwent descriptive analysis.Results We identified 8 randomized clinical trials that met the inclusion.In Meta-analysis,the overall risk ratio for ventilator-associated pneumonia was decreased significantly by toothbrushing.Toothbrushing also improved the condition of oral odor and oral ulcer.But no significant differences were observed between two groups in hospital ICU mortality.Conclusions Compared the common oral care,toothbrushing can significantly decrease the overall risk ratio for ventilator-associated pneumonia,and improve the condition of oral odor,plaque index score and oral ulcer.
