儿童结肠镜术前肠道准备的最佳证据总结  

Best evidence summary of bowel preparation before colonoscopy in children

作　　者：柳露 张春华[3] 朱琳[2] 杨冰香[1] 刘茜[1] Liu Lu;Zhang Chunhua;Zhu Lin;Yang Bingxiang;Liu Qian(School of Nursing,Wuhan University,Wuhan 430071,China;Operating Room,Sichuan Cancer Hospital,Chengdu 610041,China;Nursing Department,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学护理学院,武汉430071 [2]四川省肿瘤医院手术室,成都610041 [3]武汉大学中南医院护理部,武汉430071

出　　处：《中华现代护理杂志》2022年第35期4939-4946,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金青年项目(82103025)。

摘　　要：目的全面检索儿童结肠镜术前肠道准备的相关证据,评价和总结最佳证据,为临床提高儿童肠道准备质量提供科学参考,同时也为儿童及家长提供参考。方法依据循证检索资源的"6S"金字塔分类模型,系统检索BMJ Best Practice、UpToDate临床决策支持系统、临床指南网站、专业学会网站及数据库中有关儿童结肠镜术前肠道准备的临床决策、指南、专家共识、证据总结、系统评价,检索时限为建库(站)至2021年12月31日。由2名研究人员对文献质量进行独立评价、提取证据和确定证据推荐级别。结果共纳入文献11篇,其中临床指南3篇、系统评价4篇、专家共识4篇。对相关证据汇总后,从宣教方式、饮食准备、肠道清洁剂的选择和使用方法等8个方面总结了共计16条证据内容。结论内镜诊疗团队、外科医师、护理等多学科团队应在儿童结肠镜术前考虑儿童的不同年龄段及特殊情况,联合讨论最佳的肠道准备方案,从而提高儿童结肠镜检查的质量。Objective To comprehensively retrieve the evidence on bowel preparation before colonoscopy in children,evaluate and summarize the best evidence,so as to provide scientific reference for clinical improvement of bowel preparation quality in children,as well as for children and parents.Methods According to the"6S"pyramid classification model of evidence-based retrieval resources,we systematically searched BMJ Best Practice,UpToDate,clinical guideline website,professional society website and database for clinical decisions,guidelines,expert consensus,evidence summary and systematicreview on children's bowel preparation before colonoscopy.The retrieval time limit was from the establishment of the database(station)to December 31,2021.Two researchers independently evaluated the article quality,extracted theevidence and determined the level of evidence recommendation.Results A total of 11 articles were included,involving 3 clinical guidelines,4 systematic reviews and 4 expert consensus.After summarizing the relevant evidence,a total of 16 pieces of evidence were summarized from 8 aspects,including the method of education,diet preparation,the selection and use of intestinal cleanser.Conclusions The endoscopic team,surgeon,nurseand other multi-disciplinary teams should consider different ages and special conditions of children before colonoscopy,and jointly discuss the best bowel preparation plan,so as to improve the quality of children's colonoscopy.

关 键 词：儿童 结肠镜 肠道准备 最佳证据 循证护理 

分 类 号：R473.72[医药卫生—护理学]