护理学报2018，Vol.25Issue(5)：36-42,7.DOI:10.16460/j.issn1008-9969.2018.05.036
不同吸痰深度对建立人工气道的成年患者吸痰效果系统评价
Effects of Different Depth of Endotracheal Suctioning on Adult Patients with Artificial Airways:A Systematic Review
摘要
Abstract
Objective To investigate the difference of shallow and deep endotracheal suctioning on the effectiveness of suctioning in adult patients with artificial airways. Methods We searched PubMed, Embase, the Cochrane Library, CNKI, CBM, Wanfang and VIP to collect randomized controlled trails (RCTs) and RevMan 5.3 was used for statistical analysis. Results Twelve studies were included and the results of meta analysis showed that, before and after sputum aspiration, compared with deep endotracheal suctioning, shallow endotracheal suctioning led to a greater increase in oxygen saturation(Z=9.18, P<0.01) and tidal volume (Z=2.43, P=0.02),and a lower incidence of blood pressure fluctuations(Z=4.28, P<0.01), airway mucosal injury (Z=6.08, P<0.01) and irritative cough (Z=3.23, P<0.01). Additionally, no statistically significant difference was found in the changes of phlegm sound score between two groups, and the results of the influence of shallow or deep endotracheal suctioning on airway peak, heart rate and VAP were unstable. Conclusion In terms of improving oxygen saturation, increasing tidal volume and alleviating airway injury, shallow endotracheal suctioning is superior to deep suction. However, no differences are found in airway peake, phlegm sound and VAP between shallow and deep endotracheal suctioning and a large number of high quality studies are still in needs to interpret the results.关键词
浅层吸痰/深层吸痰/吸痰深度/人工气道/系统评价Key words
shallow endotracheal suctioning/deep endotracheal suctioning/suction depth/artificial airway/systematic review分类
医药卫生引用本文复制引用
梅彬彬,殷庆梅,王雯婷,崔飞飞,沈梅芬..不同吸痰深度对建立人工气道的成年患者吸痰效果系统评价[J].护理学报,2018,25(5):36-42,7.基金项目
江苏省卫生计生委2017年委医学科研课题(N2017010) （N2017010）
