本文選題：重型顱腦損傷 + 負壓吸痰　； 參考：《護理學(xué)雜志》2016年12期

【摘要】：目的探討不同負壓吸痰對于重型顱腦損傷患者的影響。方法收集國內(nèi)外關(guān)于不同負壓吸痰用于重型顱腦損傷患者的隨機對照試驗(RCT)文獻,按Cochrane協(xié)作網(wǎng)的系統(tǒng)評價方法篩選文獻、評價納入文獻質(zhì)量,使用RevMan5.3軟件進行統(tǒng)計分析。結(jié)果共納入7篇文獻,4篇文獻質(zhì)量評價為C級,3篇為B級;納入373例研究對象,其中試驗組178例,對照組195例;Meta分析顯示,吸痰負壓≤-20kPa與吸痰負壓-20kPa相比,可以減少對顱內(nèi)壓的影響[SMD=-1.61,95%CI(-3.16,-0.07),P=0.04],減少對心率的影響[SMD=-3.17,95%CI(-6.40,0.07),P=0.05],減少對平均動脈壓的影響[SMD=-1.23,95%CI(-2.40,-0.05),P=0.04];使用不同負壓進行吸痰,患者的血氧飽和度差異無統(tǒng)計學(xué)意義[SMD=-0.24,95%CI(-0.56,0.08),P=0.14],吸痰徹底得分差異無統(tǒng)計學(xué)意義[SMD=-0.03,95%CI(-0.25,0.31),P=0.86]。結(jié)論對重型顱腦損傷患者采用≤-20kPa的負壓進行吸痰,對患者顱內(nèi)壓、心率、平均動脈壓的影響小于采用-20kPa的負壓吸痰,兩者吸痰效果無差異。
[Abstract]:Objective to investigate the effect of different negative pressure on patients with severe craniocerebral injury. Methods A randomized controlled trial (RCT) with different negative pressure aspiration for patients with severe craniocerebral injury was collected. The literature was screened according to the systematic evaluation method of Cochrane Cooperative Network, and the quality of the literature was included in the evaluation, and the statistical analysis was carried out with RevMan5.3 software. Results A total of 7 articles and 4 articles were evaluated as C grade and 3 articles as B grade, and 373 subjects were included, including 178 cases in the experimental group and 195 cases in the control group. The results of meta-analysis showed that negative pressure of sucking sputum 鈮，

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