Effects of oropharyngeal aspiration for the prevention of ventilator-associated pneumonia: a Meta-analysis
10.3760/cma.j.cn211501-20231109-00967
- VernacularTitle:口咽部吸引预防呼吸机相关性肺炎效果的Meta分析
- Author:
Jingjing BU
1
;
Jie ZHANG
;
Yanshuo WU
;
Peng GAO
;
Kangkang SHEN
;
Yanling YIN
Author Information
1. 河北医科大学第四医院重症医学科，石家庄 050000
- Keywords:
Intensive care units;
Respiration, artificial;
Oropharyngeal aspiration;
Pneumonia, ventilator-associated;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2024;40(34):2688-2695
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of oropharyngeal aspiration on reducing ventilator-associated pneumonia,in order to provide a basis for clinical operation and practice.Methods:CNKI, Wanfang, China Biology Medicine Disc, VIP, PubMed, Embase, Cochrane Library, Web of Science and CINAHL databases were searched for relevant studies on the effects of oropharyngeal attraction on ventilators associated pneumonia. At the same time, the included references were screened, and the search time limit was from the establishment of the database to January 1, 2023. The quality of the included literature was strictly evaluated and data extracted by two researchers with evidence-based training, and Meta-analysis was performed by RevMan 5.4 software.Results:The results of meta-analysis showed that oropharyngeal aspiration could reduce the incidence of ventilator-associated pneumonia ( OR=0.30, 95% CI 0.22-0.40, P<0.01) and shorten the duration of mechanical ventilation ( MD=-2.39, 95% CI -3.59--1.20, P<0.01) and reduced length of stay in ICU ( MD=-2.62, 95% CI -2.99--2.26, P<0.01). Conclusions:Strengthening oropharyngeal aspiration can reduce the incidence of ventilator-associated pneumonia in patients with mechanical ventilation. In clinical practice, oropharyngeal aspiration should be performed when the position changes, and continuous aspiration can be performed if conditions are met.
