妇科癌症患者围手术期静脉血栓栓塞症预防的最佳证据总结  

Summary of the best evidence for prevention of venous thromboembolism in gynecological cancer patients during perioperative period

作　　者：连蕊[1] 李琳[1] 王巧红 丁炎明[2] Lian Rui;Li Lin;Wang Qiaohong;Ding Yanming(Department of Gynecology,Peking University First Hospital,Beijing 100034,China;Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院妇科,北京100034 [2]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2023年第9期1227-1232,共6页Chinese Journal of Modern Nursing

摘　　要：目的:检索、评价和总结妇科癌症患者围手术期静脉血栓栓塞症预防的相关证据,为临床提供科学依据。方法:系统检索中英文数据库、指南网、专业协会网站中有关妇科癌症患者围手术期静脉血栓栓塞症预防的证据,包括指南、证据总结、推荐实践、系统评价、专家共识,检索时限为建库至2022年2月19日。由2名经过循证培训的研究人员根据不同的文献类型选择相应的评价工具对文献进行质量评价,推荐意见的提取、翻译和整合。结果:共纳入18篇文献,包括指南9篇、证据总结1篇、推荐实践2篇、系统评价5篇、专家共识1篇。最终从危险因素、入院评估、深静脉血栓形成筛查、静脉血栓栓塞症预防、持续时间与健康教育6个方面形成20条证据。结论:本研究总结了妇科癌症患者围手术期静脉血栓栓塞症预防的最佳证据,以期通过早期预防、筛查和识别来降低患者静脉血栓栓塞症发生率,为临床护理人员提供循证依据。Objective To retrieve,evaluate and summarize the evidence of prevention of venous thromboembolism in gynecological cancer patients during perioperative period,so as to provide scientific basis for clinical practice.Methods We systematically searched the Chinese and English databases,the guide website,and the professional association website for evidence on the prevention of venous thromboembolism in gynecological cancer patients during perioperative period,including the guideline,evidence summary,recommended practice,systematic review,and expert consensus.The retrieval time limit was from the establishment of the database to February 19,2022.Two evidence-based trained researchers selected corresponding evaluation tools according to different types of articles to evaluate the quality of the articles,including the extraction,translation and integration of recommendations.Results A total of 18 articles were included,including 9 guidelines,1 evidence summary,2 recommended practices,5 systematic reviews,and 1 expert consensus.Finally,20 pieces of evidence were formed from 6 aspects:risk factors,admission assessment,deep venous thrombosis screening,prevention of venous thromboembolism,duration and health education.Conclusions This study summarizes the best evidence for prevention of venous thromboembolism in gynecological cancer patients during perioperative period,in order to reduce the incidence of venous thromboembolism in patients through early prevention,screening and identification,and provide evidence-based basis for clinical nurses.

关 键 词：静脉血栓形成 妇科癌症 机械预防 药物预防 证据总结 

分 类 号：R473.73[医药卫生—护理学]