拔管后经鼻高流量吸氧对成人患者再插管率影响的meta分析

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1、授予单位代码10089学号或申请号20153080中国图书分类号R459.7HebeiMedicalUniversity硕士学位论文专业学位拔管后经鼻高流量吸氧对成人患者再插管率影响的meta分析研究生：郄晓亮导师：佟飞教授专业：急诊医学二级学院：河北医科大学第二医院2018年3月目录中文摘要············································································································1英文摘要·····

2、·······································································································2英文缩写············································································································4研究论文拔管后经鼻高流量吸氧对成人患者再插管率影响的meta分析前言··············

3、······························································································5材料和方法································································································5结果··································································

4、··········································7附图··········································································································10附表··········································································································14结论

5、··········································································································17参考文献··································································································18综述经鼻高流量在成人患者中的应用·····································

6、···············22致谢··················································································································28个人简历··········································································································29中文摘要拔管后经鼻高流量吸氧对成人患

7、者再插管率影响的meta分析摘要目的：比较经鼻高流量氧疗(high-flownasalcannula，HFNC)与无创正压通气(noninvasivepositivepressureventilation，NPPV)及传统氧疗(conventionaloxygentherapy)对成人患者拔管后的临床干预效果。方法：检索PUBMED,EMBASE,OVID,MEDLINE,CochraneLibrary,万方数据库，中国知网数据库，中国生物医学文献数据库，维普数据库，全面搜索2001年1月至2017年12月的临床研究，根据纳

8、入及排除标准进行筛选，纳入合格的临床研究，进行质量评价及数据提取，应用Revman5.3软件进行meta分析，评价成人患者再插管率、病死率、住院时间等指标的关系，统计结果用森林图表示，通过漏斗图检验发表偏倚。结果：研究共纳入9项独立研究，1983例患者参与研究。Meta分析结果显示对于拔除