發(fā)布時間：2018-01-26 22:48

  本文關(guān)鍵詞： 體溫變化 多處創(chuàng)傷 急診室 醫(yī)院 網(wǎng)狀Meta分析　出處：《中華護理雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的用網(wǎng)狀Meta分析評價多種復(fù)溫措施在創(chuàng)傷性低體溫患者中的應(yīng)用效果。方法檢索Cochrane Library,Pub Med,EMBASE,Scopus,CINAHL,CBM數(shù)據(jù)庫,中國學(xué)術(shù)期刊全文數(shù)據(jù)庫,維普資源總庫,萬方數(shù)據(jù)知識服務(wù)平臺等數(shù)據(jù)庫中關(guān)于創(chuàng)傷性低體溫患者復(fù)溫的隨機對照研究(randomized controlled trials,RCT)及類實驗研究(controlled clinical trials,CCT)。用JBI 2008年RCT真實性評價標(biāo)準(zhǔn)及CCT評價標(biāo)準(zhǔn)對文獻質(zhì)量進行評價,并采用ADDIS 1.16.7進行網(wǎng)狀Meta分析。結(jié)果共納入7項研究,10項復(fù)溫措施,共619例患者。結(jié)果發(fā)現(xiàn)常規(guī)毛毯與熱空氣毯相比,復(fù)溫后體溫差異有統(tǒng)計學(xué)意義。從首要結(jié)局指標(biāo)來看,體溫恢復(fù)效果排名前3位的依次是42℃的碳纖維加熱毯,熱空氣毯,溫液輸注聯(lián)合溫毯覆蓋;從次要結(jié)局指標(biāo)來看,使用熱空氣毯及溫液輸注聯(lián)合溫毯后寒顫發(fā)生率低于常規(guī)毛毯,使用化學(xué)加熱墊、持續(xù)碳纖維加熱毯和羊毛毯的患者心率比普通毛毯使用者低。結(jié)論創(chuàng)傷性低體溫復(fù)溫措施中,42℃的碳纖維毯的復(fù)溫效果最好,但本結(jié)論還需更大樣本的RCT進一步驗證。
[Abstract]:Objective to evaluate the effect of various rewarming measures in patients with traumatic hypothermia by reticular Meta analysis. Methods Cochrane Library Pub Med was retrieved. EMBASE ScopusCINAHLN CBM database, full text database of Chinese academic journals, general database of Weip resources. Random controlled trials of patients with traumatic hypothermia in database such as Wanfang data knowledge service platform. RCT) and controlled clinical trials. Using JBI 2008 RCT authenticity evaluation standard and CCT evaluation standard to evaluate the quality of literature. ADDIS 1.16.7 was used to analyze the reticular Meta. The results showed that the routine blanket was compared with the hot air blanket. The difference of body temperature after rewarming was statistically significant. From the primary outcome index, the top 3 of body temperature recovery were carbon fiber heating blanket at 42 鈩，

本文編號：1466811