不同按压时间对低分子肝素皮下出血发生率影响的 Meta 分析。

Meta-analysis of Different Pressing Time on the Incidence of Subcutaneous Hemorrhage of Low Molecular Weight Heparin Administration.

机构信息

584020Zhejiang Hospital, Hangzhou, Zhejiang, P.R. China.

出版信息

Clin Appl Thromb Hemost. 2021 Jan-Dec;27:10760296211038682. doi: 10.1177/10760296211038682.

Abstract

To investigate the effect of different pressing time on the incidence of subcutaneous hemorrhage of low molecular weight heparin (LMWH) administration by meta-analysis. Cochrane Library, PubMed, MEDLINE, CINAHL, EMbase, Springer, EBSCO, China Biomedical Literature Database, CNKI, Wanfang Database, and VIP Database were searched. To screen the literature of randomized controlled trials with different pressing time in patients with subcutaneous LMWH injection from the establishment of the database to December 2020. The quality of the literature was evaluated and the data were extracted. Meta-analysis was performed by RevMan 5.3. A total of 17 randomized controlled trials were included. Meta-analysis showed that the bleeding rate of pressing for 5 min odds ratio (OR  =  3.89, 95% confidence interval [CI]: 2.68-5.64,  < .05) or pressing for 10 min (OR  =  1.99, 95% CI: 1.34-2.95) was significantly lower than that of pressing for 3 min. Moreover, the bleeding rate was significantly lower in the 5 min pressing (OR  =  1.47, 95% CI: 1.18-1.82) and 10 min pressing(OR  =  2.12, 95% CI: 1.61-2.77) than in the no compression group. It is the most suitable time to press 5 min after subcutaneous LMWH injection, which can better control the incidence of bleeding.

摘要

采用荟萃分析方法,研究不同按压时间对低分子肝素(LMWH)皮下注射后皮下出血发生率的影响。检索 Cochrane Library、PubMed、MEDLINE、CINAHL、EMbase、Springer、EBSCO、中国生物医学文献数据库、CNKI、万方数据库和 VIP 数据库。从数据库建立到 2020 年 12 月,筛选不同按压时间的皮下 LMWH 注射患者的随机对照试验文献。评价文献质量并提取数据。采用 RevMan 5.3 进行荟萃分析。共纳入 17 项随机对照试验。荟萃分析结果显示,按压 5 分钟的出血率比值比(OR=3.89,95%置信区间[CI]:2.68-5.64,<0.05)或按压 10 分钟(OR=1.99,95%CI:1.34-2.95)明显低于按压 3 分钟。此外,按压 5 分钟(OR=1.47,95%CI:1.18-1.82)和 10 分钟(OR=2.12,95%CI:1.61-2.77)的出血率明显低于无按压组。皮下注射 LMWH 后按压 5 分钟是最合适的时间,可以更好地控制出血发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13f/8642065/65632a5b5022/10.1177_10760296211038682-fig1.jpg

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