摘要
目的分析心电图定位技术应用于经外周静脉穿刺中心静脉置管(PICC)导管尖端定位的效果,为临床应用心电图技术提供客观依据。方法通过检索PubMed、Medline、Embase、Cochrane Library和中国知网、中国生物医学文献、万方、维普数据库,获取心电图定位技术应用于PICC导管尖端定位的相关文献,收集数据,采用Meta-Disc软件进行诊断性试验Meta分析。结果本次分析共纳入10项研究,累计样本量1 297例。心电图定位技术应用于PICC导管尖端定位的合并诊断比值比(DOR)为332.9,合并灵敏度为0.98(0.97,0.99),合并特异度为1.00(0.99,1.00),合并阳性似然比为7.70,合并阴性似然比为0.04。结论心电图定位技术可作为置管时判断导管尖端位置客观、有效的方法。
Objective Analyzed the effects of electrocardiogram positioning technique on tip positioning of PICC catheter to provide objective evidence for clinical application of electrocardiogram technique.Methods Relevant data about electrocardiogram positioning technology applied to PICC catheter tip location were collected by searching literature database such as PubMed,Medline,Embase,Cochrane Library,CNKI,CBM,WanFang,VIP.Then diagnostic Meta-analysis were performed using Meta-Disc software.Results Totally 10 research works,more than 1 297 cases,were analyzed.It can be concluded that the combined diagnostic odds ratio(DOR)was 332.9,the combined sensitivity was 0.98(0.97,0.99),the combined specificity was1.00(0.99,1.00),the combined positive likelihood ratio was 7.70,and the combined negative likelihood ratio was 0.04.Conclusion Electrocardiogram technique can be used for judging the position of catheter tip during catheterization objectively and effectively.
作者
周青
江智霞
李元
吴敏
杨懿敏
刘其兰
ZHOU Qing;JIANG Zhixia;LI Yuan;WU Min;YANG Yimin;LIU Qilan(Department of Nursing,the Affiliated Hospital of Zunyi Medical College,ZunYi,GuiZhou 563009,China;College of Nursing,Zunyi Medical College,ZunYi,GuiZhou 563009,China;Department of Hematology,the Affiliated Hospital of Zunyi Medical College,ZunYi,GuiZhou 563009,China)
出处
《重庆医学》
CAS
2019年第1期102-105,共4页
Chongqing medicine
基金
贵州省科技厅联合基金项目(黔科合LH字[2017]7111号)
贵州省省级重点学科(黔学位合字ZDXK[2016]10号)
