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《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:

期数:

2023年03期

页码:

335-339

栏目:

论著

出版日期:

2023-06-20

文章信息/Info

Title:

Meta-analysis of the effect of suction depth in adult airway patients

作者:

张 勤; 关甜晶; 龚 鑫; 杨 林; 蒲 萍

400037 重庆,陆军军医大学第二附属医院神经外科

Author(s):

Zhang Qin;  Guan Tianjing;  Gong Xin;  Yang Lin;  Pu Ping.

Department of Neurosurgery, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, China

关键词:

深度吸痰;  浅度吸痰;  人工气道;  吸痰效果

Keywords:

Deep suction;  Shallow suction;  Artificial airway;  Suction effect

分类号:

R563

DOI:

10.3877/cma.j.issn.1674-6902.2023.03.007

摘要:

目的 分析深度吸痰及浅度吸痰对成年人工气道患者吸痰效果的影响。方法 计算机检索Cochrane Library、PubMed、MEDLINE、EM-base、CINAHL、中国生物医学文献数据库、中国知网数据库(CNKI)、万方数据库、维普数据库(VIP)、中华医学期刊全文数据库中的深度及浅度吸痰对建立人工气道患者吸痰效果的随机对照实验,筛检纳入文献的

Abstract:

Objective To systematically evaluate the effect of deep and shallow sputum aspiration on sputum aspiration in adult patients with artificial airway. Methods Cochrane was searched by computer Randomized controlled studies of the effect of deep and shallow sputum aspiration on sputum aspiration in patients with artificial airway in Library, PubMed, MEDLINE, EM-Base, CINAHL, China Biomedical Literature Database, China National Knowledge Infrastructure(CNKI), Wanfang Database, VIP Database and Chinese Medical Journal Full-text Database At the same time, the included literature was screened for references. Two researchers extracted the literature data, and evaluated the quality of the literature with the Cochrane evaluator manual. Meta-analysis was performed with Rev Man5.3 software for the randomized controlled trials that met the quality standards. Results A total of 22 randomized controlled trials involving 1 514 patients were conducted. In terms of effectiveness, deep sputum aspiration was more effective, with fewer suctions per day [WMD=-2.09, 95%CI: -2.61 to -1.58, P<0.01], blood oxygen saturation increased more [WMD=-1.22, 95%CI(-1.51, -0.94), P<0.001], but there was no significant difference in sputum sound improvement score. In terms of complications of sputum aspiration, shallow sputum aspiration had more advantages, with fewer cases of heart rate(HR)change [WMD=3.73, 95%CI: 2.41 to 5.77,P<0.001] and small increase in respiration(RR)[WMD=0.89, 95%CI: 0.64 to 1.15,P<0.001], lower fluctuation of blood pressure(SBP)[WMD=3, 95%CI(1.78, 4.22),P<0.001], airway mucosal injury[OR=8.54, 95%CI(6.20, 11.76), P<0.001] and irritating cough [OR=5.01, 95%CI(3.68, 6.81), P<0.001]. Conclusions Depth of sputum suction in the sputum suction effectiveness is more effective, the depth of the sputum suction can decrease The Times of 24 h draw blood oxygen saturation rise is bigger, but in the sputum suction security, sputum suction depth than shallow sputum suction may cause greater fluctuations in heart rate, respiration, blood pressure, and high incidence of airway injury, choking cough, sputum suction can be personalized according to patients condition in clinical choice depth.

参考文献/References:

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备注/Memo

备注/Memo:

通信作者: 蒲 萍, Email: puping0317@163.com

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更新日期/Last Update: 2023-06-20