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水胶体敷料对无创正压通气患者压疮的影响:一项荟萃分析。

Effect of hydrocolloid dressing on pressure ulcer in patients with non-invasive positive pressure ventilation: A meta-analysis.

作者信息

Luo Yu-Lan, Luo Shi-Feng, Luo Lin, Ou Min, Tang Meng-Lin

机构信息

Department of Critial Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

出版信息

Int Wound J. 2023 Oct 19;21(2). doi: 10.1111/iwj.14442.

DOI:10.1111/iwj.14442
PMID:37857589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10828119/
Abstract

This study systematically evaluated the effect of hydrocolloid dressings on facial pressure ulcers in patients receiving non-invasive positive pressure ventilation (NIPPV). The Embase, PubMed, Cochrane Library, CNKI, VIP, Chinese Biomedical Literature Database and Wanfang databases were searched for randomised controlled trials on the use of hydrocolloid dressings in patients receiving NIPPV published from the inception of each database to August 2023. The literature was independently screened, data were extracted by two authors based on the inclusion and exclusion criteria, and the quality of the included literature was assessed. The meta-analysis was performed using Stata 17.0. Thirteen studies including 1248 patients were included, with 639 patients in the intervention group and 609 patients in the control group. Meta-analysis showed that the hydrocolloid dressing significantly reduced the incidence of facial pressure ulcers in patients with NIPPV (odds ratio = 0.16, 95% confidence intervals: 0.11-0.24, p < 0.001). Hydrocolloid dressings are effective in reducing the incidence of facial pressure ulcers in patients receiving NIPPV. However, because of the small number of included studies, this conclusion needs to be confirmed with larger samples and high-quality clinical studies.

摘要

本研究系统评价了水胶体敷料对接受无创正压通气(NIPPV)患者面部压疮的影响。检索了Embase、PubMed、Cochrane图书馆、中国知网、维普、中国生物医学文献数据库和万方数据库,以查找从各数据库建库至2023年8月发表的关于在接受NIPPV的患者中使用水胶体敷料的随机对照试验。对文献进行独立筛选,由两名作者根据纳入和排除标准提取数据,并评估纳入文献的质量。使用Stata 17.0进行荟萃分析。共纳入13项研究,包括1248例患者,其中干预组639例,对照组609例。荟萃分析表明,水胶体敷料显著降低了NIPPV患者面部压疮的发生率(比值比=0.16,95%置信区间:0.11-0.24,p<0.001)。水胶体敷料可有效降低接受NIPPV患者面部压疮的发生率。然而,由于纳入研究数量较少,这一结论需要通过更大样本量和高质量的临床研究加以证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/b04decfd7f0d/IWJ-21-e14442-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/b9307ad52395/IWJ-21-e14442-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/463144e0a088/IWJ-21-e14442-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/570651ee62c5/IWJ-21-e14442-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/3da5f2bc6822/IWJ-21-e14442-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/b04decfd7f0d/IWJ-21-e14442-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/b9307ad52395/IWJ-21-e14442-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/463144e0a088/IWJ-21-e14442-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/570651ee62c5/IWJ-21-e14442-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/3da5f2bc6822/IWJ-21-e14442-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/10828119/b04decfd7f0d/IWJ-21-e14442-g004.jpg

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引用本文的文献

1
RETRACTION: Effect of Hydrocolloid Dressing on Pressure Ulcer in Patients with Non-Invasive Positive Pressure Ventilation: A Meta-Analysis.撤稿声明:水胶体敷料对无创正压通气患者压疮的影响:一项荟萃分析。
Int Wound J. 2024 Dec;21(12):e70150. doi: 10.1111/iwj.70150.

本文引用的文献

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Prophylactic use of silicone dressing to minimize pressure injuries: Systematic review and meta-analysis.预防性使用硅胶敷料以减少压疮:系统评价与荟萃分析。
Enferm Clin (Engl Ed). 2023 Jan-Feb;33(1):4-13. doi: 10.1016/j.enfcle.2022.05.002. Epub 2022 Jun 6.
2
Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries.我们对压力性溃疡/压力性损伤病因的当代理解。
Int Wound J. 2022 Mar;19(3):692-704. doi: 10.1111/iwj.13667. Epub 2021 Aug 11.
3
The aetiology of medical device-related pressure ulcers and how to prevent them.
医疗器械相关性压疮的病因及预防措施。
Br J Nurs. 2021 Aug 12;30(15):S24-S30. doi: 10.12968/bjon.2021.30.15.S24.
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The influence of anaemia on pressure ulcer healing in elderly patients.贫血对老年患者压疮愈合的影响。
Br J Nurs. 2021 Aug 12;30(15):S32-S38. doi: 10.12968/bjon.2021.30.15.S32.
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Risk factors of medical device-related pressure injury in intensive care units.重症监护病房医疗器械相关性压力损伤的危险因素。
J Clin Nurs. 2022 May;31(9-10):1174-1183. doi: 10.1111/jocn.15974. Epub 2021 Jul 26.
6
The Use of Prophylactic Foam Dressings for Prevention of Hospital-Acquired Pressure Injuries: A Systematic Review.预防性泡沫敷料预防医院获得性压疮的应用:系统评价。
J Wound Ostomy Continence Nurs. 2021;48(3):211-218. doi: 10.1097/WON.0000000000000762.
7
Reducing the Incidence of Medical Device-Related Pressure Injuries From Use of CPAP/BiPAP Masks: A Quality Improvement Project.降低 CPAP/ BiPAP 面罩使用相关的医疗器械相关性压力损伤发生率:一项质量改进项目。
J Wound Ostomy Continence Nurs. 2021;48(2):108-114. doi: 10.1097/WON.0000000000000742.
8
The mechanobiology theory of the development of medical device-related pressure ulcers revealed through a cell-scale computational modeling framework.通过细胞尺度计算建模框架揭示医疗器械相关性压疮发展的机械生物学理论。
Biomech Model Mechanobiol. 2021 Jun;20(3):851-860. doi: 10.1007/s10237-021-01432-w. Epub 2021 Feb 19.
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Noninvasive Ventilation as a Weaning Strategy in Subjects with Acute Hypoxemic Respiratory Failure.无创通气作为急性低氧性呼吸衰竭患者的撤机策略。
Respir Care. 2020 Oct;65(10):1574-1584. doi: 10.4187/respcare.07542. Epub 2020 Apr 28.
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