TY - Jour A2 - Kam，Chak W. Au - Cao，Zanfeng Au - Yang，Zanfeng Au - Liang，Zhanzheng Au - Liang，Ziingyan Au - Cen，Qingyan Au - Zhang，Zuopeng Au - Liang，Hengrui Au - Liu，Rong Au - Zeng，LiangboAu-Xie，Yubao Au - Wang，Youping Py - 2020 DA - 2020/12/04 TI - 易于仰卧位患者急性呼吸窘迫综合征：随机控制试验的META分析SP - 4973878 VL - 2020AB - 该荟萃分析的目的是比较成人急性呼吸窘迫综合征（ARDS）患者的俯卧效果和安全性。从2020年9月开始，系统地搜索了PubMed，Embase和Cochrane库的电子数据库。采用相应的95％置信区间（CIS）的相对风险（RRS）和加权平均差异（WMDS）来计算汇总使用随机效应模型的结果。为最终的Meta分析选择了12种随机对照试验，共招募了共有2264名成人的ARDS。接受俯卧位通风的患者的死亡风险低于接受仰卧通气的人低13％，但这种效果在统计学上没有统计学意义（RR：0.87; 95％CI：0.75-1.00; P.  = 0.055). There were no significant differences between prone and supine position ventilation on the duration of mechanical ventilation (WMD: −0.22; P.  = 0.883) or ICU stays (WMD: –0.39; P.  = 0.738). The pooled RRs indicate that patients who received prone position ventilation had increased incidence of pressure scores (RR: 1.23; P.  = 0.003), displacement of a thoracotomy tube (RR: 3.14; P.  = 0.047), and endotracheal tube obstruction (RR: 2.45; P.  = 0.001). The results indicated that prone positioning during ventilation might have a beneficial effect on mortality, though incidence of several adverse events was significantly increased for these patients. SN - 2090-2840 UR - https://doi.org/10.1155/2020/4973878 DO - 10.1155/2020/4973878 JF - Emergency Medicine International PB - Hindawi KW - ER -