|
|||||
|
|
| 经外周中心静脉置管与中心静脉置管临床应用效果的系统评价 | |
| 引用本文： | 葛永春,王尚前,邵国安,陈良英. 经外周中心静脉置管与中心静脉置管临床应用效果的系统评价[J]. 中国全科医学, 2011, 14(36) |
| 作者姓名： | 葛永春 王尚前 邵国安 陈良英 |
| 作者单位： | 新疆医科大学第五附属医院肿瘤外科,新疆乌鲁木齐市,830011 |
| 摘 要： | 目的通过对国内所有已经发表的有关经外周中心静脉置管(PICC)与中心静脉置管(CVC)随机对照试验进行系统的评价,进一步分析这两种置管方法在临床中应用的利弊。方法采用Cochrane协作网提供的有关干预试验的研究方法,采用GRADE3.5.1软件对所有纳入的文献进行证据质量评价,采用RevMan5.1.2软件对所有数据进行Meta分析。结果 PICC单次置管成功率高于CVC,差异有统计学意义[RR=1.21,95%CI(1.01,1.45);P=0.04];PICC组导管感染率低于CVC组,差异有统计学意义[RR=0.33,95%CI(0.12,0.89);P=0.03];PICC组误入动脉的发生率低于CVC组,差异有统计学意义[RR=0.11,95%CI(0.03,0.49);P=0.004];而PICC组静脉炎的发生率高于CVC组[RR=4.17,95%CI(1.42,12.29);P=0.01];两组气胸、导管阻塞、导管脱出、导管尖端异位、导管口渗漏的发生率间差异均无统计学意义(P>0.05);置管时间、导管留置时间间差异亦均无统计学意义(P>0.05)。结论 PICC具有单次置管成功率高、并发症少、留... |
| 关 键 词： | 经外周中心静脉置管 中心静脉置管 系统评价 |
The Value of PICC and CVC Clinical Application: Systematic Reviews |
|
| GE Yong-chun,WANG Shang-qian,SHAO Guo-an,et al.. The Value of PICC and CVC Clinical Application: Systematic Reviews[J]. Chinese General Practice, 2011, 14(36) | |
| Authors: | GE Yong-chun WANG Shang-qian SHAO Guo-an et al. |
| Affiliation: | GE Yong-chun,WANG Shang-qian,SHAO Guo-an,et al.Cancer Treatment Center,the Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China |
| Abstract: | Objective To systematicly evaluate the randomly-chosen documents published in China about peripherally inserted central venous catheter(PICC) and central venous catheter(CVC) to further analyze the pros and cons of these two inserting methods in clinical application.Methods Use the intervention trial research methods provided by the Cochrane Collaboration net and GRADE3.5.1 software to carry out quality evaluation on all the evaluations existed in the documents.RevMan5.1.2 software was adopted to make Meta-... |
| Keywords: | Peripherally inserted central catheter Central venous catheter Systematic review |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |