身体约束与成人气管插管非计划性拔管风险关系的Meta分析

doi:10.3969/j.issn.1006-9143.2026.01.012

天津护理 ›› 2026, Vol. 34 ›› Issue (1): 72-76.DOI: 10.3969/j.issn.1006-9143.2026.01.012

身体约束与成人气管插管非计划性拔管风险关系的Meta分析

孙艳玲于阳夏欣华王宇霞李雅楠张紫君

（天津市泰达医院，天津 300457）

出版日期:2026-02-28 发布日期:2026-02-25

A meta-analysis examining the correlation between physical restraint and the incidence of unplanned extubation following tracheal intubation

SUN Yanling, YU Yang, XIA Xinhua, WANG Yuxia, LI Yanan, ZHANG Zijun

(TEDA Hospital, Tianjin 300457)

Online:2026-02-28 Published:2026-02-25

摘要/Abstract

摘要： 目的：系统评价身体约束与成人气管插管患者非计划性拔管（Unplanned Endotracheal Extubation，UEE）的关系。方法：检索万方、中国知网、维普、中国生物医学文献数据库、中华医学期刊全文数据库、PubMed、Embase、Cochrane Library、CINAHL等中英文数据库，纳入自建库至2025年8月31日期间发表的关于身体约束与非计划性拔管风险关系的队列研究或病例对照研究。由2名研究人员独立进行文献筛选、资料提取及文献质量评价，并使用Stata进行Meta分析。结果：共纳入8篇文献，涉及1 662例ICU气管插管患者。风险关系Meta分析结果显示，使用身体约束的患者发生UEE的风险高于未使用身体约束的患者[OR=3.44（2.52~4.72），P<0.001]。亚组分析结果均显示使用身体约束的患者发生UEE的风险高于未使用身体约束的患者。结论：现有证据表明身体约束会增加UEE的风险，但还需更多高质量的队列研究以及标准化的约束实践以进一步验证。

关键词: 身体约束, 气管插管, 非计划性拔管, 风险关系, Meta分析

Abstract: Objective: To systematically evaluate the association between physical restraint and unplanned endotracheal extubation (UEE) among adult intubated patients. Methods: Wanfang Data, CNKI, VIP, SinoMed, CMJ Full-Text Database, PubMed, Embase, Cochrane Library and CINAHL were searched for cohort or case-control studies on the association between physical restraint and UEE risk, published from inception to 31 August 2025. Two reviewers independently conducted literature screening, data extraction, and evaluation of literature quality. Meta-analysis was performed with STATA software. Results: Eight studies involving 1 662 ICU intubated patients were included. The meta-analysis showed that physical restraint use was associated with a significantly increased risk of unplanned extubation (UEE) [OR=3.44(2.52~4.72), P<0.001]. Subgroup analyses demonstrated that the risk of UEE was higher in patients whos use physical restraint compared to those who did not. Conclusion: Current evidence suggests that physical restraints increase the risk of UEE, but further validation requires more high-quality cohort studies and standardized restraint definitions.

Key words: Physical restraint, Tracheal intubation, Unplanned extubation, Risk relationship, Meta-analysis

孙艳玲于阳夏欣华王宇霞李雅楠张紫君. 身体约束与成人气管插管非计划性拔管风险关系的Meta分析[J]. 天津护理, 2026, 34(1): 72-76.

SUN Yanling, YU Yang, XIA Xinhua, WANG Yuxia, LI Yanan, ZHANG Zijun. A meta-analysis examining the correlation between physical restraint and the incidence of unplanned extubation following tracheal intubation[J]. Tianjin Journal of Nursing, 2026, 34(1): 72-76.

[1]	雷珺黄海燕米元元刘桂兰 . 气管插管患者拔管后吞咽障碍影响因素及干预研究进展[J]. 天津护理, 2025, 33(5): 627-630.
[2]	申继传刘平芳张仙娟李中正张群红刘娟. 艾滋病实施肾脏替代治疗患者死亡相关危险因素的Meta分析[J]. 天津护理, 2025, 33(3): 301-305.
[3]	颜立春王之仪胡雅静张银华. 常用身体约束评估工具的研究现状[J]. 天津护理, 2024, 32(1): 119-123.
[4]	马艳秋沈悦好武蕊刘海迎张岚. 基于理论域框架的ICU护士执行身体约束缩减行动障碍因素的质性研究[J]. 天津护理, 2022, 30(6): 661-665.
[5]	吴佳倩黄素群李敏毕科. 高压氧辅助治疗压力性损伤疗效的Meta分析[J]. 天津护理, 2022, 30(4): 418-421.
[6]	李小燕, 吴晓冰, 梁馨尹, 张国龙. 8例新型冠状病毒肺炎合并ARDS患者气管插管的抢救配合与护理[J]. 天津护理, 2020, 28(6): 678-681.
[7]	刘莹岳萌邹永明. MMSE与MoCA筛查卒中后认知障碍准确性的meta分析[J]. 天津护理, 2020, 28(2): 138-142.
[8]	柴倩文魏力. 风险分级管理模式对糖尿病足溃疡预防效果的Meta分析[J]. 天津护理, 2019, 27(5): 533-537.
[9]	姜丽娜黄苏平张甘棠. 电动冲吸一体式牙刷在经口气管插管患者中的应用效果观察[J]. 天津护理, 2019, 27(4): 480-482.
[10]	孙艳屈媛媛. 预前照护计划干预效果的Meta分析[J]. 天津护理, 2019, 27(3): 260-264.
[11]	韦艳飞符婵陈庆玲赵敏清. 新生儿非计划性胃管拔除原因及护理对策[J]. 天津护理, 2019, 27(3): 368-369.
[12]	杨青梅闫桂虹江雯红. 临床护理路径在全膝关节置换患者中应用效果的meta分析[J]. 天津护理, 2019, 27(2): 187-191.
[13]	郭杰. 思维导图在外周静脉留置针非计划性拔管中的应用[J]. 天津护理, 2019, 27(1): 105-107.
[14]	谷晓玲王维宁魏洪悦王钐钐. 肝素用于小儿中心静脉导管维护系统评价再评价* [J]. 天津护理, 2018, 26(6): 659-664.
[15]	方登星侯晓营潜艳董翠萍. 术后经口气管插管暂时性失语患者的心理体验[J]. 天津护理, 2018, 26(4): 397-400.

身体约束与成人气管插管非计划性拔管风险关系的Meta分析

A meta-analysis examining the correlation between physical restraint and the incidence of unplanned extubation following tracheal intubation

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics