南方医科大学学报2020，Vol.40Issue(3)：308-315,8.DOI:10.12122/j.issn.1673-4254.2020.03.02
超声引导下中心静脉穿刺中短轴法与长轴法的应用比较:更新的系统评价与meta分析
Short-axis versus long-axis approach in ultrasound-guided central venous cannulation: an updated systematic review and meta-analysis
摘要
Abstract
Objective To compare the success rate and safety of the short-axis (SAX) approach and long-axis (LAX) approach to ultrasound-guided central venous cannulation.Methods Electronic bibliographic databases including PubMed,Cochrane Library,Science Direct,and Web of Science were searched for randomized controlled trials comparing ultrasound-guided central venous cannulation via the LAX and SAX approaches published during the period from January,2011 to October,2017.We extracted the data from the eligible studies and assessed the first-attempt success rate,overall puncture success rate and complication rate of the two approaches.The relative risk (RR) with the 95％ CI was calculated using a fixed or random effects model.Results Seven randomized controlled trials were included for meta-analysis.The results showed that the first-attempt success rate was significantly higher in the SAX group than in the LAX group (RR=1.27,95％CI:1.11-1.46;P=0.0005,I2=49％),but the overall puncture success rate did not differ significantly between the two approaches (RR=1.04,95％ CI:0.97-1.10;P=0.27,I2=84％).The incidence of accidental arterial puncture with the SAX approach was significantly lower than that with the LAX approach (RR=1.04;95％CI:1.01-1.08;P=0.01,I2=30％).Conclusion Ultrasound-guided central venous cannulation via the SAX approach,as compared with the LAX approach,can increase first-attempt success rate and reduce the incidence of accidental arterial puncture.关键词
超声/中心静脉穿刺置管/长轴法/短轴法/meta分析Key words
ultrasound/central venous cannulation/long-axis approach/short-axis approach/meta-analysis引用本文复制引用
韩运洋,秦再生,石能贤,何劲,曾振华..超声引导下中心静脉穿刺中短轴法与长轴法的应用比较:更新的系统评价与meta分析[J].南方医科大学学报,2020,40(3):308-315,8.基金项目
This work was supported by National Natural Science Foundation of China (81871604) （81871604）
Natural Science Foundation of Guangdong Province (2020A151501361) （2020A151501361）
Outstanding Youths Development Scheme of Nanfang Hospital of Southern Medical University (2016J011).国家自然科学基金(81871604) （2016J011）
广东省自然科学基金(2020A151501361) （2020A151501361）
南方医科大学南方医院杰青培育计划(2016J011) （2016J011）
