在血液透析中使用塑料管:范围审查
Monica Schoch1, Debra Kerr2, Vicki Smith3
1Deakin University, Institute for Health Transformation, Centre for Quality and Patient Safety, School of Nursing and Midwifery, Geelong, Victoria, Australia.
International journal of nursing studies
|October 18, 2025
概括
塑料软管在动脉静脉和移植的血液透析中越来越多的全球采用. 尽管初始成本高,但它们提供长期的成本效益和改善患者舒适度,尽管需要更多的试验.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管接入 血管接入
- 医疗器械 医疗器械
背景情况:
- 金属针是血液透析血管接入的标准.
- 塑料管为特定的患者群体提供潜在的好处.
- 在血液透析中塑料管的全球采用一直是不一致的.
研究的目的:
- 为了绘制塑料管在血液透析血管接入的全球趋势.
- 了解末期病患者使用塑料管的采用模式.
- 确定影响塑料管在血液透析中的使用因素.
主要方法:
- 从1990年到2025年5月的文献综述.
- 搜索了主要的数据库,包括MEDLINE,CINAHL,Cochrane,ProQuest,Trove和谷歌学者.
- 包括使用塑料管进行成人血液透析的英语文章;数据以叙事方式合成.
主要成果:
- 来自全球不同地区的45项研究符合纳入标准,表明塑料管使用量增加.
- 障碍包括更高的初始成本和实施复杂性.
- 塑料软管证明了长期的成本效益和改善患者的结果 (较少的组织损伤,更少的流产,更好的舒适).
结论:
- 全球对用于血液透析血管接入的塑料管越来越感兴趣.
- 存在潜在的临床和经济优势,但由于后勤挑战和初始成本,采用障碍.
- 需要高质量的比较试验来确认相对有效性,并为实践整合提供信息.
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