摘要
目的 探讨应用不同敷料防治经外用静脉置入中心静脉导管(PICC)穿刺点感染的效果。方法 计算机检索PubMed、the Cochrane library、CBM、中国知网(CNKI)、维普(VIP)和万方(Wanfang Data)数据库有关敷料预防和治疗PICC穿刺点感染的随机对照试验,并筛检纳入文献的参考文献,检索时间从建库至2022年10月31日。对文献进行筛选和资料提取,经过质量评价后,对符合纳入标准的研究采用ADDIS 1.16.6软件进行网状meta分析。结果 最终纳入21篇文献,网状meta分析果显示:预防PICC穿刺点处感染效果最佳的是聚氨酯泡沫敷料,其次为藻酸盐敷料、软聚硅酮敷料、纳米银敷料、氯已定敷料。结论 根据现有结果表明,在预防PICC穿刺点感染方面聚氨酯泡沫敷料及藻酸盐敷料优于其他敷料。
Objective To explore the effect of using different dressings to prevent and treat PICC puncture site infection.Method PubMed,the Cochrane library,CBM,China National Knowledge Infrastructure(CNKI),VIP,and Wanfang Data databases were searched by the computor for randomized controlled trials on the prevention and treatment of PICC puncture site infections with dressings,and the references of included literature were screened,and the search was conducted from database establishment to October 31,2022.After screening and extraction of literature,and conducting quality evaluation,a mesh Meta-analysis was conducted by using ADDIS 1.16.6 software on studies that met the inclusion criteria.Results A total of 21 literatures were finally included,and the reticular Meta-analysis results showed that the best effect of preventing infection at PICC puncture points was polyurethane foam dressing,followed by alginate dressing,soft polysiloxane dressing,nano silver dressing,and chlorhexidine dressing.Conclusion Based on existing results,it is indicated that the cured dressing and alginate dressing are superior to other dressings in preventing PICC puncture site infection.
作者
陈泽方
莫霖
沈雨晴
刘涛
曾燕
CHEN Zefang;MO Lin;SHEN Yuqing;LIU Tao;ZENG Yan(Department of Nursing,Chongqing Medical University Affiliated Children's Hospital&National Clinical Medical Research Center for Children's Health and Diseases&Child Development Disease Research Key Laboratory of the Ministry of Education&Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China;Department of Outpatient,Chongqing Medical University Affiliated Children's Hospital&National Clinical Medical Research Center for Children's Health and Diseases)
出处
《护士进修杂志》
2024年第2期181-187,共7页
Journal of Nurses Training
基金
重庆市自然科学基金面上项目(编号:CSTB2022NSCQ-MSX0082)。
关键词
经外周静脉置入中心静脉导管
并发症
置管处感染
敷料
伤口护理
循证护理
peripherally inserted central catheter
complications
infection at the site of placement
dressings
wound care
evidence-based nursing
作者简介
陈泽方(1998-),男,陕西南郑,硕士在读,护师,研究方向:儿童肿瘤护理;通信作者:莫霖,Email:molin999@126.com。
