对于外周静脉导管的不同包裹和固定方法的有效性和安全性:系统性审查和元分析
Afina Chaerunnisa1, Auxillia Madhuvu1, Danielle Najm1
1School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
International wound journal
|March 10, 2026
概括
组织粘合剂包裹显著减少周围静脉导管失效,脱落和成年人的闭塞. 然而,关于它们在儿科患者中的有效性的证据有限,需要进一步的研究.
科学领域:
- 医疗器械 医疗器械
- 临床护理 临床护理
- 基于证据的实践.
背景情况:
- 周围静脉注射导管 (PIVC) 是必不可少的,但容易出现高失效率和安全问题.
- 目前的包装和固定方法旨在尽量减少PIVC并发症.
- 优化PIVC管理对于患者的治疗结果和医疗保健效率至关重要.
研究的目的:
- 系统地审查各种PIVC包装和固定方法的有效性和安全性.
- 在不同的方法中比较PIVC失败,脱落,闭塞和感染等结果.
- 评估成人和儿科患者群体的证据基础.
主要方法:
- 从1959年到2024年发表的随机对照试验 (RCT) 的系统综述.
- 在主要数据库 (CENTRAL,CINAHL,EMBASE,MEDLINE) 进行的搜索.
- 偏差风险和证据确定性使用考克兰偏差风险2和GRADE标准进行评估.
主要成果:
- 与透明聚氨敷料相比,组织粘合剂敷料在成人中显著减少了PIVC故障,脱落和闭塞.
- 在成年人中,透明聚氨带的脱落率低于带.
- 对于儿科患者群体的证据稀少,单个试验的数据有限.
结论:
- 组织粘合剂在减少成人患者PIVC失败和机械并发症方面表现出有效性.
- 组织粘合剂在儿科患者的疗效需要通过强大的临床试验进行进一步的研究.
- 目前的证据表明,需要更多的研究来指导最佳的PIVC服装和固定选择,特别是在儿童中.
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