水胶体敷料预防压疮的Meta分析.pdfVIP

·74· ·比较研究· 水胶体敷料预防压疮的Meta分析 黄蕾刘立宝 胡爱玲李欢 【摘要】 目的评价使用水胶体敷料联合常规护理预防压疮的有效性。方法检索中英文可及 数据库中关于评价水胶体敷料用于压疮预防的随机对照实验(RCT)和类实验研究。提取资料用 Revman 5．0软件进行数据处理和分析。结果共纳入17篇文献，1371例患者。Meta分析结果显示： 存在压疮风险的患者，预防性使用水胶体敷料联合常规护理组比常规护理组压疮发生率低，RR= o．29，95％c，(o．18，o．46)；使用无创正压通气的患者，预防性使用水胶体敷料联合常规护理组比常规护 理组压疮发生率低，RR=O．30，95％c，(0．18，0．52)。结论存在压疮风险的患者和使用无创正压通气的 患者，预防性使用水胶体敷料联合常规护理能更有效的预防压疮。 【关键词】压疮；预防；敷料；水胶体；Meta分析 for ulcers：A Lei,LiuLibao，Hu Hydrocolloiddressingspreventingpressure Meta—analysisHuang A Third SunYat—sen ilin94．Li of Affiliated of Huan．+DepartmentNursing,the Hospital University, 510000,China Guangzhou author：Hu CorrespondingAiling,Email：h-ailing@163．COrn Toevaluatetheeffectsof withconventionalcareinthe [Abstract】Objective hydrocolloiddressings of trials ulcers．MethodsRandomisedcontrolledand preventionpressure quasi—randomisedtrials，which assessedthe effectsof in ulcers toconventionalcare hydrocolloiddressingspreventingpressurecompared were were RevMan5．0．Results17 trialswereidentifiedwithatotal sought．Datapooledusing eligible 1 of 371 showed toconventionalcare，conventionalcare studyparticipants．Meta—analysisthat：Compared and wereeffectivefor ulcersfor atriskof ul— hydrocolloiddressings preventingpressure patients pressure noninvasive cers暇R=O．29，95％CI(0．18，0．46)]and ventilator[RR=0．30，95％CI using positivepressure Conclusions andconventionalcarecanreduceth