摘要
目的探讨留置股血管导管的危重症患者早期活动的安全性与可行性,为指导临床康复训练方案提供参考。方法检索PubMed、EMbase、OVID、Springer-link、Wiley Online Library、Web of Science数据库中研究留置股血管导管的危重症患者早期活动安全性与可行性的文献,检索时间截至2021年6月,提取相关数据进行分析。结果初步筛选文献72篇,最终纳入符合标准的文献12篇。总患者数为1056例,其中男560例,留置股血管导管患者489例。患者共进行6495次早期活动,62例患者出现不良事件,其中留置股血管导管的危重症患者早期活动出现导管相关不良事件共14例(2.86%,14/489)。结论尽管留置股血管导管的危重症患者的早期活动可能导致导管相关不良事件的发生,但发生率较低,而且不需要临床额外的急救处理。临床专家应权衡相关风险和益处,不建议将留置股血管导管作为危重症患者早期活动的禁忌证。
Objective To investigate the safety and feasibility of early mobilization in critically ill patients with femoral catheters,and to provide reference for guiding clinical rehabilitation training.Methods The literature on the safety and feasibility of early mobilization in critically ill patients with femoral catheters included in PubMed,EMbase,OVID,Springer-link,Wiley Online Library,and Web of Science up to June 2021 was searched,and relevant data were extracted for analysis.Results Seventy-two papers were initially screened,and 12 papers that met the criteria were finally included,covering 1056 patients,and 489 patients had femoral catheters.Patients underwent 6495 sessions of physical therapy,and a total of 62 patients had adverse events,including 14(2.86%,14/489)patients with catheter-related adverse events.Conclusion Although early mobilization in critically ill patients with femoral catheters may lead to adverse catheter-related events,the incidence is low.Therefore,the associated risks and benefits should be weighed in clinical practice,and femoral catheter is not recommended as a contraindication for early mobilization in critically ill patients.
作者
王渝强
郭应强
黄维
李磊
石峻
喻鹏铭
WANG Yuqiang;GUO Yingqiang;HUANG Wei;LI Lei;SHI Jun;YU Pengming(Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Rehabilitation Medical Center,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Rehabilitation Key Laboratory of Sichuan Province,Chengdu,610041,P.R.China)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2023年第3期434-439,共6页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
股血管置管
早期活动
安全性
可行性
定性系统评价
Femoral catheters
early mobilization
safety
feasibility
qualitative systematic review
