Comparison on efficacy of external application of potato slices and Magnesium Sulfate wet packing in treating Mannitol extravasation:a systemic review
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摘要: 目的 综合定量评价分析马铃薯外敷与50%硫酸镁湿敷治疗甘露醇外渗的研究结果,以期探讨马铃薯外敷治疗甘露醇外渗的临床疗效,为甘露醇外渗的有效治疗提供可靠的循证依据。 方法 通过计算机检索中国期刊全国数据库(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、维普数据库(VIP)及Cochrane Library、Pubmed、Web of Science,筛选有关马铃薯片外敷与50%硫酸镁湿敷治疗甘露醇外渗疗效的随机、半随机对照试验,根据文献的排除与纳入标准进一步筛选文献,由2名研究者对文献质量进行严格评价和资料提取,对符合质量标准的研究应用RevMan 5.3软件进行Meta分析。 结果 共纳入11项研究,发生20%甘露醇外渗的患者共818例。Meta分析结果证实,马铃薯外敷的痊愈率是50%硫酸镁外敷治疗的1.39倍,马铃薯治疗20%甘露醇外渗的痊愈率高于硫酸镁湿敷[RR=1.39,95%CI(1.14~1.69),P<0.001];马铃薯的无效率是50%硫酸镁的0.35倍,马铃薯治疗的无效率显著低于硫酸镁组[RR=0.35,95%CI(0.19~0.65),P<0.001];11项试验研究的漏斗图对称性良好,未见显著发表偏倚。 结论 马铃薯片治疗20%甘露醇外渗的效果优于50%硫镁湿敷,而且新鲜马铃薯取材方便,价格低廉,无毒副作用,值得临床推广运用。Abstract: Objective To analyze the results researching the function of external application of potato slices and magnesium sulfate wet packing in treating mannitol extravasation,explore the curative effect of external application of potato slices,and provide the evidence-based nursing practice for the treatment of mannitol extravasation. Methods A online search was conducted by using the resources of CNKI,WanFang Database,CBM,VIP Database,Cochrane Library,Pubmed and Web of Science.The randomized controlled trials on the efficacy in treating Mannitol extravasation between external application of potato slices and 50% Magnesium Sulfate wet packing were screened via the exclusion and inclusion creteria.Then two researchers evaluated the papers quality respectively and extracted data.A Meta-analysis was performed by using RevMan 5.3 software. Results A total of 11 studies involving 818 patients with Mannitol venous effusion were included.Meta-analysis showed that the recovery rate and significant efficiency in potato group were apparently higher than Magnesium Sulfate group[RR=1.39,95%CI(1.14-1.69),P<0.001].The inefficiency in the potato group was obviously lower than the Magnesium Sulfate group[RR=0.35,95%CI(0.19-0.65),P<0.001].The funnel plot showed no publication bias. Conclusion The potato slice has a better effect in treating 20% Mannitol extravasation as compare with 50% Magnesium Sulfate,without adverse reactions,non-toxic,and low cost,so it can be widely used in clinical.
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Key words:
- Potato /
- Magnesium sulfate /
- Mannitol /
- Extravasation
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