腹腔镜下内镜微创保胆术后病人拔除胃管时机的循证护理  

Evidence-based nursing on removal timing of gastric tube after laparoscopic gallbladder-preserving surgery

作　　者：唐文雅[1] TANG Wenya(Peking University Shougang Hospital,Beijing 100144 China)

机构地区：[1]北京大学首钢医院,100144

出　　处：《全科护理》2021年第8期1034-1038,共5页Chinese General Practice Nursing

摘　　要：目的:探讨腹腔镜下内镜微创保胆手术(腹腔镜保胆术)病人麻醉清醒后即刻拔除胃管的安全可行性。方法:根据循证医学的原则,针对病人临床情况提出问题,全面检索Cochrane library、Pubmed、最佳证据(Best Evidence)、OVID全文数据库、Proquest、美国指南网(National Guideline Clearinghouse,NGC)、加拿大安大略护士注册协会指南网(Registered Nurses'Association of Ontario,RNAO)、中国学术期刊网络出版总库(CNKI)、万方数据库、维普数据库等数据库,获取并评价相关的临床指南、系统评价(systematic review,SR)、Meta-分析和多中心的随机对照试验(randomize controlled trials,RCT)证据。结果:共检索出临床指南1篇,系统评价2篇,Meta分析3篇,RCT7篇。证据表明,腹腔镜保胆术后不保留胃管是安全可行的。结论:采用循证的方法可为腹腔镜保胆术后病人提供更科学、优质的护理。Objective:To explore the safety and feasibility of removing the gastric tube immediately after waking up from anesthesia in patients who underwent laparoscopic gallbladder-preserving surgery(L-GPS).Methods:According to the principles of evidence-based medicine,questions were asked about the patients′clinical situation.The relevant clinical guidelines,systematic reviews(SR),meta-analysis,and multi-center randomized controlled trials(RCTs)were retrieved from Cochrane library,PubMed,Best Evidence,OVID full-text database,ProQuest,National Guideline Clearinghouse(NGC),Ontario,Canada Registered Nurses′Association of Ontario(RNAO),Chinese National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,and other databases.Results:A total of 1 clinical guideline,2 SRs,3 meta-analyses,and 7 RCTs were retrieved.Evidence showed that remove the gastric tubes after L-GPS was safe and feasible.Conclusions:Evidence-based methods could provide more scientific and high-quality nursing for patients after L-GPS.

关 键 词：拔除胃管 胃肠减压 腹腔镜 内镜微创保胆术 循证护理 

分 类 号：R473.6[医药卫生—护理学]