摘要
目的评价拔管前夹闭导尿管对短期留置导尿患者的影响。方法计算机检索Cochrane图书馆、PubMed、EMbase、中国期刊全文数据库,查找拔除留置导尿管前进行夹闭干预对短期留置导尿患者作用的相关文献,依据随机方法、分配隐藏、盲法、结果数据的完整性、选择性报告研究结果和其他偏倚来源对纳入文献进行偏倚评价。按照纳入和排除标准选择文献、提取资料及进行质量评价后,采用RevMan 5.0软件对两组患者尿路感染发生率、尿潴留发生率、重置管率及排尿异常发生率进行Meta分析。结果共纳入11项临床对照研究1 571例患者,其中试验组(拔管前夹闭导尿管)736例,对照组(持续开放引流)835例。根据纳入文献方法学质量分高质量组与低质量组进行亚组分析,高质量组与低质量组合并分析显示:尿路感染的发生率差异无统计学意义,RR=1.02,95%CI为(0.70,1.48),P=0.93;两组患者尿潴留的发生率差异无统计学意义,RR=1.70,95%CI为(1.01,2.88),P=0.05;两组患者重置管率的比较,差异无统计学意义,RR=0.82,95%CI为(0.56,1.19),P=0.29;两组患者排尿异常发生率比较,差异无统计学意义,RR=0.84,95%CI为(0.21,3.34),P=0.80。结论基于现有资料分析提示短期留置导尿患者拔管前夹闭导尿管与持续开放引流相比无明显优势。
Objective To evaluate the effect of catheter occlusion before extubation on patients with short-term indwelling urethral catheters.Method Search related literature on catheter occlusion before extubation on patients with short-term indwelling urethral catheters on Cochrane,PubMed,Embase and CJFD.Make bias evaluation by stochastic method,allocation concealment,blinding,integrity of result data,research result of selective reports and other bias resources.Make meta analysis on incidence of urinary tract infection,incidence of urinary retention,incidence of re-indwelling and paruria by RevMan5.0 software after choosing literature by inclusive and exclusion criteria,extracting data and quality evaluation.Result 11 clinical control studies and 1 571 patients are included,in which 736 in control group（catheter occlusion before extubation）and 835 in control group（continuous open drainage）.Make subgroup analysis according to high-quality and low-quality of methodological quality.Combined analysis on high-quality group and low-quality group shows that there is no significant difference on incidence of urinary tract infection,RR=1.02,95% CI（0.70,1.48）,P=0.93.There is no significant difference on incidence of urinary retention between two groups,RR=1.70,95% CI（1.01,2.88）,P=0.05.There is no significant difference on incidence of re-indwelling between two groups,RR=0.82,95% CI（0.56,1.19）,P=0.29.There is no significant difference on paruria between two groups,RR=0.84,95%CI（0.21,3.34）,P=0.80.Conclusion There is no obvious advantage of catheter occlusion before extubation compared to continuous open drainage for atients with short-term indwelling urethral catheters based on present data.
作者
陈彩凤
Chen Caifeng(Central Hospital of Huzhou,Huzhou Zhejiang 313000,China)
出处
《护理与康复》
2018年第6期3-7,11,共6页
Journal of Nursing and Rehabilitation
关键词
导尿管
夹闭
留置导尿
系统评价
随机对照研究
urethral catheter
occlusion
indwelling catheter
systematic evaluation
randomized controlled trial
