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个性化压力设置气压止血带在骨科四肢手术中的应用效果荟萃分析
Author(s) -
Ding Lei,
Ding Caiyun,
Wang Yunlei,
Wang Meilan,
Qian Xiaohong,
Huang Ling,
Xie Xinger,
Ji Hanzhen
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14196
Subject(s) - tourniquet , medicine , meta analysis , orthopedic surgery , medline , surgery , political science , law
Aims To evaluate the application effect of individualized pressure setting strategy of pneumatic tourniquet in orthopaedic surgery. Background Some individualized setting pressures of pneumatic tourniquet are lower than the standard pressure recommended in the textbook ( Nursing of Operating Room , People's Military Publishing House, 2008). Design Meta‐analysis. Data Sources CL, WOS, PubMed, CNKI, CBM, VIP and Wan‐fang DATA. Review Methods We searched studies on the application effect of individualized pressure of pneumatic tourniquet from the establishment date of the databases to September 2017. Study quality was assessed using the quality evaluation method recommended in the Cochrane Handbook 5.1.0 (Higgins, 2011). The primary outcome was inflation pressure. Results We identified nine studies including 1,200 patients. The individualized pressure setting strategy can provide a lower inflation pressure (four studies), improve haemostatic effect (six studies) and reduce the incidence of related complications (eight studies). Conclusions An individualized inflation pressure is recommended when using the tourniquet in orthopaedic surgery. And the setting pressure might be a minimum and efficiency one, by accessing the the systolic blood pressure and limb circumferences of the patient. Impact This study addressed that the individualized pressure setting strategy of pneumatic tourniquet can provide a lower inflation pressure and a higher application value in orthopaedic limb surgery. However, greater attention should be focused on how to unify the individualized pressure setting strategy. Meanwhile, the instructions for use from manufacturers need to be updated. Therefore, it is recommended to conduct a large‐sample multi‐centre high‐quality randomized controlled trial in strict accordance with the CONSORT standard.