腹内压力测量技术的发展,可行性和可信性:一个范围审查
ZhiRu Li1, HuaFen Wang1, FangYan Lu2
1Nursing Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
审查了直接和替代的腹内压力 (IAP) 测量技术. 跨管测量是可靠的,而更少的侵入性方法显示未来的潜力,但需要验证.
科学领域:
- 关键护理医学 关键护理医学
- 手术技术 手术技术
- 医疗器械开发 医疗器械开发
背景情况:
- 腹内压力 (IAP) 监测在重症监护中至关重要.
- 现有的IAP测量技术存在局限性.
- 新兴的方法旨在提高准确性和患者舒适度.
研究的目的:
- 综合审查新兴的直接和替代腹内压力 (IAP) 测量技术.
- 评估各种IAP测量方法的可行性,可信性和可靠性.
- 为指导临床选择适当的IAP测量工具.
主要方法:
- 根据阿克西和马利的框架进行范围审查.
- 在PubMed,EMBASE,Web of Science,EBSCO,Scopus和ProQuest数据库中进行了搜索 (2000年至今).
- 包括关于IAP测量技术的开发,可行性和可信性的原始研究.
主要成果:
- 包括42篇文章,将技术分类为直接,间接和少入侵.
- 跨管测量是最广泛使用和可靠的连续/间歇监测.
- 穿越直肠和穿越骨静脉的方法缺乏足够的准确性;无线穿越阴道显示活动监测的潜力,但需要验证.
结论:
- 缺乏新的IAP测量技术的临床验证数据.
- 由于成本和侵入性,不建议在常规使用中直接测量.
- 较少的侵入性技术是未来的趋势,但需要进一步的标准化和验证.
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