Luo Yu-Lan, Luo Shi-Feng, Luo Lin, Ou Min, Tang Meng-Lin
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.
Int Wound J. 2023 Oct 19;21(2). doi: 10.1111/iwj.14442.
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.
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。