Effectiveness of pulsative flushing and continuous flushing for peripheral venous catheter: a Meta-analysis / 中国实用护理杂志

ABSTRACT

Objective To evaluate the effectiveness of pulsative flushing and continuous flushing for peripheral venous catheter.Methods By retrieving Cochrane Library,ProQuest Research Library,PubMed,Web of science,Ovid,Embase and CINAHL complete(EESCO),China National Knowledge Infrastructure(CNKI),Wanfang,Weipu,and China Biology Medicine disc (CBMdisc) to find the randomized controlled trials (RCT) and clinical controlled trials(CCT) that been applied to compare pulsative flushing and continuous flushing for peripheral venous catheter,and using Revman5.3 soft for a Meta-analysis.Results There were thirteen studies which had involved 1 679 patients.The Meta-analysis' results as followsThe pulsative flushing was superior than continuous flushing indecreasing intravenous catheter's blockage (P ＜ 0.01),and had prolonged more time than continuous flushing in retaining catheter (P ＜ 0.01).The two flushing methods were similar in reducing phlebitis (P＞ 0.05).Conclusions The pulsative flushing was superior to the continuous one in reducing the intravenous catheter's blockage and prolonging the catheter's times.There were similar in decreasing phlebitis.The pulsative flushing method was used with caution in chronic diseases such as angiocardiopathy.