超声波检查,以确认胃管的位置
Yasushi Tsujimoto1,2,3, Yuki Kataoka3,4,5,6, Masahiro Banno3,7
1Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.
The Cochrane database of systematic reviews
|July 25, 2024
概括
超声波显示高灵敏度检测错位的胃管,但缺乏足够的准确性作为一个独立的确认方法. 在资源有限的环境中,它可能是X射线的有价值的替代品.
科学领域:
- 医疗成像医学成像
- 诊断的准确性 诊断的准确性
- 胃肠病学 胃肠病学
背景情况:
- 胃管对于无法吞的患者的食和药物输送至关重要.
- 误入气管可能导致严重的肺炎,突出需要准确的安置确认.
- 超声波正在成为确认胃管放置的有前途的诊断工具.
研究的目的:
- 评估超声波的诊断准确性,单独或与其他方法相结合,用于确认儿科和成人群体的胃管放置.
- 更新关于这个主题的先前系统审查.
主要方法:
- 一个系统的审查和横截面和病例对照研究的元分析.
- 包括的研究评估了使用超声波评估鼻腔和胃口管的放置,X射线作为参考标准.
- 由于特异性数据稀少,使用随机效应逻辑回归模型对灵敏度进行了元分析.
主要成果:
- 该审查包括了22项研究,涉及1939名参与者.
- 超声波显示高总结灵敏度 (0.96-0.98) 检测错位的管道,与中等确定性证据.
- 由于错位的发生率很低,特异性数据有限 (确定性证据非常低).
结论:
- 超声波本身可能没有足够的准确性来确定胃管的位置.
- 在缺乏X射线设施的环境中,超声波可以成为检测错位管道的有用辅助.
- 需要进一步的大规模研究来评估潜在的不良事件,并完善超声波的作用.
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