Effectiveness of sealing peripheral venous catheter with pre filled catheter irrigator vs.heparinsodium:a meta a-nalysis
Teng Jinghua
Zhong Huiqin
Li Xiaoli
Abstract:Objective:To evaluate the effectiveness of sealing peripheral venous catheter with pre filled catheter irrigator.Methods:By searching CBMdisc,CNKI,Wanfang and VIP database to collect randomized controlled trials (RCTs)of sealing peripheral venous catheter with pre filled catheter irrigator vs.Heparinsodium.After data extraction and quality assessment of included studies,a meta analysis was conducted by using RevMan 5.2 software.Results:Thirteen studies involving 1 773 patients were included in this study.The meta analysis showed that:there were significant differences between pre filled catheter irrigator sealing and heparin sodium sealing in peripheral venous catheter blockage[OR=0.50,95%CI(0.34,0.74),P=0.000 4].In terms of the in-dwelling needle blood return rate and incidence of phlebitis,there were no significant differences between the two groups[OR=0.36,95%CI(0.21,0.64),P=0.000 5].In terms of the average remaining time of peripheral venous catheter[SMD=0.90,95%CI(0.09,1.72),P=0.03]and the time needed for sealing peripheral venous catheter[SMD=-11.86,95%CI(-13.08,-10.63),P<0.000 1],there were significant differences between the two groups.Conclusions:Compared with heparin sodium sealing,pre filled catheter irrigator sealing meth-od can reduce the incidence of peripheral venous catheter blockage and phlebitis,prolong the remaining time of peripheral venous catheter and save time for nurses in operation of peripheral venous catheter sealing.While there were no significant differences in incidences of blood return and local leakage.
Keywords:peripheral venous indwelling needlesealing tubepre filled catheter irrigatorheparin sodiummeta a-nalysisocclusionphlebitisindwelling time
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:7( 58-64 )
