危重患儿有创血压与无创血压监测差异性的Meta分析

doi:10.3969/j.issn.1671-7171.2021.09.005

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摘要【目的】Meta分析危重患儿有创血压( Invasive Blood Pressure,IBP)与无创血压(Noninvasive Blood Pressure, NBP)监测的差异性。【方法】计算机检索Pub Med、The Cochrane Library、EMbase、VlP、Wan Fang Data、CNKI数据库,搜集危重患儿IBP与NBP监测的临床随机对照研究,检索时限为2000年 1月至2020年12月。由2位研究者独立筛选文献、提取资料和评价纳入研究的偏倚风险后,采用通过Revman 5.3软件进行Meta分析。【结果】共纳入16篇原始文献,所有研究中,病例选择、检查方法、参考标准、病例流程和进展情况显示文献整体质量较高。Meta分析结果如下:收缩压加权均数差(WMD)=-0.32 mmHg,95%CI= -0.59~-0.06,其差异有统计学意义(P<0.05);舒张压WMD=0 mmHg,95%CI=-0.25~0.26,其差异无统计学意义(P>0.05);平均动脉压WMD=-0.16 mmHg,95%CI=-0.40~0.09,其差异无统计学意义(P>0.05)。【结论】IBP监测能及时地反映危重患儿血压,但结果仍需进一步扩大样本证实。

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	程婷
	田馨怡

关键词 ：危重病, 儿童, 血压测定/方法, Meta分析

Abstract：【Objective】To systematically evaluate the difference between invasive blood pressure and non-invasive blood pressure monitoring in critically ill children. 【Methods】We used online resources of PubMed, The Cochrane Library, EMbase, VlP, WanFang Data, CNKI database to search and collect clinical randomized controlled studies of invasive blood pressure and non-invasive blood pressure monitoring in critically ill children. The search time range was from January 1, 2000 to December 31, 2020. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies, and then used Revman5.3 software for Meta-analysis. 【Results】A total of 16 original documents were included. In all studies, case selection, inspection methods, reference standards, case procedures and progress showed that the overall quality of the literature was high. The results of Meta-analysis were as follows: systolic blood pressure's WMD=-0.32 mmHg, 95%CI=-0.59~-0.06, the difference was statistically significant (P<0.05), which indicated that the invasive method for systolic blood pressure was higher than the noninvasive method for critically ill children. On the other hand, diastolic blood pressure's WMD=0mmHg, 95%CI= -0.25~0.26, the difference was not statistically significant (P>0.05).The mean arterial pressure WMD=-0.16 mmHg, 95%CI=-0.40~0.09. The difference is not statistically significant (P>0.05).【Conclusion】Invasive blood pressure can reflect the blood pressure of critically ill children in a timely manner, but it need more samples and studies to confirm the result.

Key words： Critical Illness Child Blood Pressure Determination/MT Meta-Analysis

收稿日期: 2021-05-08

中图分类号:

R473.52

通讯作者: *E-mail:138084560@qq.com

引用本文:

程婷, 田馨怡. 危重患儿有创血压与无创血压监测差异性的Meta分析[J]. 医学临床研究, 2021, 38(9): 1296-1299.
CHENG Ting, TIAN Xin-yi. Meta-analysis of the Difference Between Invasive Blood Pressure and Non-invasive Blood Pressure Monitoring in Critically Children. JOURNAL OF CLINICAL RESEARCH, 2021, 38(9): 1296-1299.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.09.005 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I9/1296

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