实用医学杂志2011，Vol.27Issue(9)：1579-1581,3.DOI:10.3969/j.issn.1006-5725.2011.09.024
早期气管切开对长期机械通气患者影响的系统评价
The timing of tracheostomy in patients undergoing artificial ventilation: a systematic review
李志强 1张印纲 1邱方1
作者信息
- 1. 063000,河北省唐山市,华北煤炭医学院附属医院ICU
- 折叠
摘要
Abstract
Objective To compare outcomes in adult patients undergoing artificial ventilation who received an early tracheostomy and those who received a late tracheostomy. Methods Related references were collected from databases of the PubMed, Cochrane Library, CBM and CNKI from establishment to June 2010.Randomized controlled trials focusing on the effects of early tracheostomy on the prolonged endotracheal intubation were analyzed hy a systematic review method. Results Six trials in total were screened and used for a meta-analysis. Early tracheostomy did not significantly alter mortality (RR 0.87, 95％ CI 0.59 to 1.30) , risk of pneumonia (RR 0.89, 95％ CI 0.68 to 1.17) and duration of artificial ventilation ( WMD -4.49, 95％ CI -11.64 to 1.77). Conclusions The systematic review does not demonstrate significant benefit of early tracheotomy to patients who need prolonged merhanical ventilation. However, this primary conclusion should be verified by using more prospective randomized trials.关键词
气管切开术/人工通气/系统评价引用本文复制引用
李志强,张印纲,邱方..早期气管切开对长期机械通气患者影响的系统评价[J].实用医学杂志,2011,27(9):1579-1581,3.
