不同鈍性分離擴(kuò)皮法在PICC置管中應(yīng)用效果的網(wǎng)狀Meta分析

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Application effects of different blunt separation in PICC：a network Meta-analysis

LIU Jiahong，YANG Hong， ZHANG Jing，WANG Wenjuan，QIN Yuju

;henzhen Nanshan People'sHospital，Guangdong 518o52 China

Corresponding Author LIU Jiahong，E-mail： 568529450@qq.com

AbstractObjectie：Toevaluatetheaplicationefectofdiferentbluntseparationinperipherall insertedcentralcathete（PICC）bya networkmeta-aass.MetdsRadoedontrolldtrialsonCCinsertiousigtbluntseparatioeeetriedfrottabasef CNKI，Wanangataiaeicalieratureatabase，ubed，base，Webfiee，ndechaneLl timefromdatabaseestablishmenttoSeptember1，023.RevMan5.4wasusedforliteraturequalityevaluationAndStata17.Owasused fornetworkmeta-analysis.Results：Atotalof18literaturesourceswereincluded，involving7indsofbluntseparation.Therultsof the network Meta-analysis showed that there were statistically significant differences（all P<0.05 in terms ofbleedingvolume at 24 hours postcatheterizationandpuncturesiteleakagebetweentheblindpucturenedleseathandthecathetersheathasemblyforsidilation andtheinsertiosheathershathexpasionomparedtoonvetioalbladexpasionetods.Coclusios：Bluntseparaioodtain advantagesoverconventioalbladeexpansionmethodsinPICCinsertio.However，thetialbluntseparationrequiredfurthraidation through clinical trials.

Keywordsblunt separation;peripherally inserted central catheter，PICC; network meta-analysis

經(jīng)外周靜脈置入中心靜脈導(dǎo)管（peripherallyinsertedcentralcatheter，PICC）因操作安全、留置時(shí)間長、適用范圍廣、穿刺成功率高、可由護(hù)士操作完成等優(yōu)點(diǎn)在臨床得到了廣泛應(yīng)用[1-3]。（剩余10492字）