加速塞尔丁格技术长外围导管对导管相关结果的影响:系统性审查
Wouter Pieteraerens1,2, Brenda van Delft1, Annelies Scholliers3
1Faculty of Medicine and Pharmacy, Nursing and Midwifery Research Group (NUMID), Primary Care (PRIM), Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Expert review of medical devices
|February 19, 2026
概括
使用加速塞尔丁格技术 (AST) 放置的长外围导管 (LPC) 在难以输入静脉的患者 (DIVA) 中表现出中度并发症. AST-LPCs可能为短外围导管提供更持久的替代品,但证据有限.
科学领域:
- 血管接入装置 血管接入装置
- 医疗器械技术 医疗器械技术
背景情况:
- 长外围导管 (LPC) 弥合了短外围导管和中线导管之间的差距.
- 对LPCs的不一致术语导致了临床结果的模两可.
研究的目的:
- 为了系统地审查关于加速塞尔丁格技术 (AST) 的文献,LPCs被放置在成年人中,难以静脉注射 (DIVA).
- 评估与AST-LPCs相关的疗效和并发症.
主要方法:
- 进行了对CINAHL,科克伦图书馆,谷歌学者和PubMed (2000-2023) 的系统搜索.
- 包括的研究是对成年DIVA患者的AST安置LPC的前性和后性评估.
- 数据提取和质量评估由两位独立作者进行.
主要成果:
- 包括11项研究,其中包括1871个导管放置 (8项追溯,3项RCT).
- 平均LPC停留时间从2.92到17.1天不等.
- 这些并发症包括透 (0-24%),功能障碍 (3.6-15.7%),血栓形成 (0.5-15.4%),感染 (0-10.2%),阻塞 (0.5-10.2%),以及炎 (0.7-9.8%).
- 十项研究被评为低质量,其中一项是中等质量的.
结论:
- 放置AST的LPC与中等数量的导管相关并发症有关.
- 在DIVA患者中,AST-LPC可能比短外围导管提供更持久的选择.
- 证据受到治疗完成和导管结果不一致的报告的限制.
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