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Int J Nurs Stud：使用超声检测正确的鼻饲管安置的诊断准确性较好

2017-05-12 MedSci MedSci原创

超声检测鼻饲管安置荟萃分析
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本研究旨在回顾与X线相比在成人中使用超声检测正确的鼻饲管（NGT）安置的诊断准确性。 研究人员检索了1961年至2015年之间相关的文献。所纳入的研究对比了超声检测NGT安放与X线指示NGT安放的准确性。研究人员检索了Cochrane Central Register of Controlled Trials、MEDLINE、EMBASE、CINAHL、Web of Science、万方、中

本研究旨在回顾与X线相比在成人中使用超声检测正确的鼻饲管（NGT）安置的诊断准确性。

研究人员检索了1961年至2015年之间相关的文献。所纳入的研究对比了超声检测NGT安放与X线指示NGT安放的准确性。研究人员检索了Cochrane Central Register of Controlled Trials、MEDLINE、EMBASE、CINAHL、Web of Science、万方、中国期刊网、中国生物医学文献数据库中收录的文章。语言为英语和非英语。根据诊断性研究质量评估(QUADAS-2)标准使用标准程序评估偏倚风险。

结果共纳入了5项研究，共包括420名成年患者：三个试验患者在院前机构安置了机械通气，两个试验的患者严重创伤在急救室或ICU救治。汇总结果显示，超声检查的敏感性为0.93（95% CI ：0.87~0.97），特异性为0.97（95% CI：0.23~1），表明超声诊断性对于确定正确的NGT放置有用，但是对于不正确的NGT位置的检测却并不是最佳的。该结果经综合受试者工作特征（SROC）曲线证实，曲线下的面积为0.96（95% CI：0.94~0.98）。

本次系统回顾和荟萃分析的主要局限性在于所纳入的研究异质性中等，或可影响结果的可靠性和可重复性。所纳入的研究样本量较小不足以确定异质性的可能来源及探究报告偏倚。由于研究的异质性，需谨慎对待结果中超声检查诊断的准确性。医生和护士应常规行X线如果在无法行可视化NGT。仍需更多精心设计的研究来探究超声作为NGT置入的准确性诊断工具。

原始出处：
Lin T, Gifford W, et al., Diagnostic accuracy of ultrasonography for detecting nasogastric tube (NGT) placement inadults: A systematic review and meta analysis. Int J Nurs Stud. 2017 Mar 9;71:80-88. doi: 10.1016/j.ijnurstu.2017.03.005.

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    2017-07-28 ms9833124466084992

    #诊断准确性#

    0

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    2018-03-20 owlhealth

    不错.学习了

    0

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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2018-01-27 lilianxiang

    #准确性#

    0

  4. 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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-14 成恩

    么了机票便宜

    0

  5. 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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-14 尹玉伟

    厉害厉害……以后……多努力学习

    0

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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 日月生辉

    平时我们做cT或x片第一次听说B超测定得学学了

    0

  7. 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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 林3301

    学习了解了，谢谢分享

    0

  8. 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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 天涯183

    非常好的文章，学习了，很受益

    0

  9. 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time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 cqykthl

    超声检查优势突出

    0

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encodeId=c3c719e57300, content=非常好的文章，学习了，很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sat May 13 13:59:44 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197554, encodeId=fde119e554c1, content=超声检查优势突出, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Sat May 13 13:38:49 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197484, encodeId=5ade19e484cb, content=好文章，学习了，分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sat May 13 09:38:54 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 王国安

    好文章，学习了，分享。

    0

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