Nasal bridles for securing nasoenteric tubes: a meta-analysis.
Nasal bridles for securing nasoenteric tubes: a meta-analysis.
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DOI：
10.1177/0884533614536737
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
McClave SA
中科院分区：
文献类型：
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作者：
Bechtold ML;Nguyen DL;Palmer LB;Kiraly LN;Martindale RG;McClave SA
鼻肠饲管很容易因病人精神状态、转移或体位改变而移位。鼻笼头的引入提供了一个更好，更可靠的系统来保护这些管道。本荟萃分析旨在评估鼻笼头与传统的胶带固定肠内饲管的有效性。检索多个数据库（2013年10月）。所有评估成人患者使用鼻笼头的研究都被纳入分析。通过计算脱位、皮肤并发症和鼻窦炎的汇总估计，对使用鼻笼头与单独使用胶带固定鼻肠管的更传统方法的结果进行meta分析。采用RevMan 5.1软件进行统计分析。6项研究（n = 594）符合纳入标准。与单独使用传统胶带相比，使用鼻笼头固定肠内管可显著减少肠内管脱位（优势比[OR]， 0.16； 95%可信区间[CI]， 0.10-0.27; P < 0.01）。与传统胶带相比，使用鼻辔头与更高的皮肤并发症发生率相关（OR, 4.27; 95% CI, 1.79-10.23; P < 0.01）。两组患者鼻窦炎的发生率无差异（OR, 0.26; 95% CI, 0.03-2.28; P = 0.22）。鼻笼头在固定鼻肠管和防止脱位方面似乎比传统的单独使用胶带更有效。
Nasoenteric feeding tubes may easily become dislodged due to patient mental status, transfers, or positional changes. Nasal bridles were introduced to provide a better, more reliable system to secure these tubes. This meta-analysis was performed to evaluate the effectiveness of nasal bridles compared with the traditional method of adhesive tape alone in securing enteral feeding tubes. Multiple databases were searched (October 2013). All studies that evaluated the use of nasal bridles in adult patients were included in the analysis. Meta-analysis for the outcomes from use of a nasal bridle vs the more traditional method of adhesive tape alone for securing nasoenteric tubes was analyzed by calculating pooled estimates of dislodgement, skin complications, and sinusitis. Statistical analysis was performed using RevMan 5.1. Six studies (n = 594) met the inclusion criteria. Use of a nasal bridle for securing enteral tubes resulted in a statistically significant reduction in tube dislodgement compared with traditional adhesive tape alone (odds ratio [OR], 0.16; 95% confidence interval [CI], 0.10–0.27; P < .01). The use of nasal bridles was associated with a higher rate of skin complications compared with traditional adhesive tape (OR, 4.27; 95% CI, 1.79–10.23; P < .01). Incidence of sinusitis was no different between the 2 groups (OR, 0.26; 95% CI, 0.03–2.28; P = .22). Nasal bridles appear to be more effective at securing nasoenteric tubes and preventing dislodgement than traditional use of tape alone.