Luo Xianwu, Guo Yi, Yu Huidan, Li Sheng, Yin Xiaohong
Faculty of School of Health Sciences, Wuhan University, Wuhan, China.
Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Nurs Health Sci. 2017 Dec;19(4):403-413. doi: 10.1111/nhs.12361. Epub 2017 Jul 21.
In this systematic review and meta-analysis, we evaluated the effectiveness, safety and comfort of StatLock for the securement of peripherally-inserted central catheters. PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure, WanFang Database, and China Science and Technology Journal Database were searched. Randomized, controlled trials comparing StatLock with tape or suture on the performance of securing peripherally-inserted central catheters were selected. Meta-analysis was performed using Review Manager 5.3 software. Thirteen randomized, controlled trials involving 1970 patients were included. Our results showed that StatLock reduced the incidence of catheter dislodgement and unplanned removal. Moreover, patients in the StatLock group had lower incidence of skin ulceration, phlebitis, catheter-related bloodstream infection, and cellulitis, and felt more comfortable compared with those in the control group. Current evidence suggests that the StatLock securement device offer advantages over tape and suture in preventing catheter-related complications and improving patient comfort. However, as considerable heterogeneity was found among the included studies, and the quality of evidence for main outcomes was relatively low, the results should be viewed with caution.
在这项系统评价和荟萃分析中，我们评估了StatLock用于固定外周静脉穿刺中心静脉导管的有效性、安全性和舒适性。检索了PubMed、EMBASE、Cochrane图书馆、中国知网、万方数据库和中国科技期刊数据库。纳入了比较StatLock与胶带或缝线在固定外周静脉穿刺中心静脉导管性能方面的随机对照试验。使用Review Manager 5.3软件进行荟萃分析。纳入了13项涉及1970例患者的随机对照试验。我们的结果表明，StatLock降低了导管移位和非计划拔除的发生率。此外，与对照组相比，StatLock组患者皮肤溃疡、静脉炎、导管相关血流感染和蜂窝织炎的发生率更低，且感觉更舒适。目前的证据表明，在预防导管相关并发症和提高患者舒适度方面，StatLock固定装置比胶带和缝线更具优势。然而，由于纳入研究之间存在相当大的异质性，且主要结局的证据质量相对较低，因此应谨慎看待这些结果。
