急、慢性心力衰竭患者氧疗管理的最佳证据总结  

Summary of the best evidence of oxygen therapy management in patients with acute and chronic heart failure

作　　者：陆静钰 丁雯 张丽萍[2] LU Jingyu;DING Wen;ZHANG Liping(Department of Nursing,General Hospital of Ningxia Medical University,Ningxia,Yinchuan 750001,China;Department of Cardiovascular Internal Medicine,General Hospital of Ningxia Medical University,Ningxia,Yinchuan 750001,China)

机构地区：[1]宁夏医科大学总医院护理部,宁夏银川750001 [2]宁夏医科大学总医院心血管内科,宁夏银川750001

出　　处：《中国医药科学》2023年第20期141-145,共5页China Medicine And Pharmacy

基　　金：宁夏回族自治区重点研发计划黄河流域生态保护和高质量发展科技支撑项目(2022CMG03093);宁夏回族自治区自然科学基金项目(2023AAC03613);宁夏医科大学校级科研项目(XM2022058)。

摘　　要：目的检索并分析急、慢性心力衰竭患者氧疗的相关证据,对最佳证据进行总结。方法系统检索国内外多个数据库及指南网有关心力衰竭氧疗管理的文献,由2名研究者独立进行质量评价、证据提取及汇总。结果共纳入12篇文献,包括指南7篇、专家共识2篇、临床决策1篇、系统评价2篇。从急、慢性心力衰竭的评估、吸氧时机、吸氧方式及合并疾病等几个方面,总结了18条证据。结论本研究总结了急、慢性心力衰竭氧疗管理的最佳证据,建议对于心力衰竭患者应进行评估后再按需氧疗,并根据其疾病及生理特点选择不同的氧疗方式,为临床医护人员提供了循证依据。Objective To retrieve and analyze the relevant evidence of oxygen therapy in patients with acute and chronic heart failure,and summarize the best evidence.Methods The literatures about oxygen therapy management of heart failure in many domestic and foreign databases and guidelines network were retrieved systematically,and the quality evaluation,evidence extraction and summary were carried out independently by two researchers.Results A total of 12 literatures were included,containing 7 guidelines,2 expert consensus,1 clinical decision and 2 systematic reviews.A total of 18 piece s of evidence were summarized from the evaluation of acute and chronic heart failure,the opportunity of oxygen inhalation,the way of oxygen inhalation and the complicated diseases.Conclusion This study summarizes the best evidence of oxygen therapy management of acute and chronic heart failure,and suggests that patients with heart failure shall be evaluated before oxygen therapy on demand.And different oxygen therapy methods shall be selected according to their diseases and physiological characteristics,providing evidence-based basis f or clinical medical staff.

关 键 词：心力衰竭 氧气疗法 证据总结 循证护理学 

分 类 号：R541.6[医药卫生—心血管疾病]