摘要
目的分析夹管训练对短期留置导尿管患者拔管后尿道功能恢复的影响。方法在JBI Library、Cochrane Library、Pubmed、OVID、Web of Science、EBSCO、中国生物医学文献数据库、中国期刊全文数据库、中国科技期刊全文数据库、万方数据库中检索关于短期留置导尿管患者拔管前夹闭导尿管进行功能锻炼的随机对照试验,时间限制均为数据库起始时间到2017年9月1日。由2名课题组成员根据事先设定的标准进行文献筛选、资料提取以及文献质量的评价,再采用RevMan 5.3对纳入的文献做Meta分析。结果初检出253篇,最后纳入13篇文献,累计实验对象1 955例,其中干预组969例、对照组986例。Meta分析结果显示,两组首次排空时间[WMD=-0.07,95%CI为(-0.31,0.16),P=0.55]、首次排尿量[WMD=5.10,95%CI为(-19.53,29.73),P=0.68]、尿路感染[OR=0.80,95%CI为(0.53,1.21),P=0.29]、再置管率[OR=0.83,95%CI为(0.46,1.50),P=0.53]、尿潴留率[OR=1.42,95%CI为(0.58,3.44),P=0.44]等方面无统计学意义。结论夹管训练对短期留置导尿管患者拔管后尿道功能恢复没有影响。
Objective To evaluate the effect of pipe clamp training on urethral function recovery of patients with shortterm indwelling catheter after extubation.Method Search JBI Library,Cochrane Library,Pubmed,OVID,Web of Science,EBSCO,CBMdisc,CJFD,CJFD on science and Wanfang Data on randomized controlled trials of pipe clamp training on urethral function recovery of patients with short-term indwelling catheter after extubation from the beginning to Sep.1 st 2017.Screen on the literature,extract the information and evaluate the quality by a certain standard from 2 groups of members.Make Meta-analysis by RevMan5.3 on the literature included.Result 253 pieces of literature are chosen and13 pieces are included finally.There are 1 953 experiment objects totally,in which 969 are in intervention group and 984 are in control group.Meta analysis shows that there is no significant difference on the first emptying time [WMD =-0.07,95%CI（-0.31,0.16）,P=0.55],first urination volume[WMD=5.10,95%CI（-19.53,29.73）,P=0.68],urinary tract infection[OR=0.80,95%CI（0.53,1.21）,P=0.29],incidence of re-indwelling[OR=0.83,95%CI（0.46,1.50）,P=0.53]and incidence of urinary retention[OR=1.42,95%CI（0.58,3.44）,P=0.44]between two groups.Conclusion There is no effect of pipe clamp training on urethral function recovery of patients with short-term indwelling catheter after extubation.
作者
田彩霞
王薇
Tian Caixia;Wang Wei(The First Affiliated Hospital School of Medicine Zhejiang University,Hangzhou Zhejiang 310003,China)
出处
《护理与康复》
2018年第7期12-18,共7页
Journal of Nursing and Rehabilitation
