成年维持性血液透析患者高磷血症管理的最佳证据总结  

Summary of the best evidence for the management of hyperphosphatemia in adult maintenance hemodialysis patients

作　　者：范晓波 崔莉[1] 姜艳萍 王刚[3] 李倩倩[4] 王静远[5] 李春梅[1] 魏丽丽[4] Fan Xiaobo;Cui Li;Jiang Yanping;Wang Gang;Li Qianqian;Wang Jingyuan;Li Chunmei;Wei Lili(Blood Purification Center,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Pediatric Hematology and Oncology Department,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Critical Medicine,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Nursing Department,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Neurology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院血液净化中心,青岛266000 [2]青岛大学附属医院儿童血液肿瘤科,青岛266000 [3]青岛大学附属医院重症医学科,青岛266000 [4]青岛大学附属医院护理部,青岛266000 [5]青岛大学附属医院神经内科,青岛266000

出　　处：《中华现代护理杂志》2023年第33期4557-4563,共7页Chinese Journal of Modern Nursing

基　　金：山东省重点研发计划软科学项目(2020RZB01096);山东省医药卫生科技发展计划项目(202014010636)。

摘　　要：目的检索、评价及总结成年维持性血液透析患者高磷血症管理的相关证据。方法计算机检索国内外数据库和相关专业网站中关于成年维持性血液透析患者高磷血症的最佳实践、证据总结、指南、专家共识、系统评价,检索时间均为建库至2023年1月。对纳入文献进行方法学质量评价,提取和汇总最佳证据。结果共纳入文献13篇,其中临床决策2篇,指南4篇,系统评价7篇。从血磷监测、充分透析、饮食管控、药物管理及健康教育5个方面总结了23条证据。结论本研究总结了有关维持性血液透析患者高磷血症管理的最佳证据,为临床医护人员对成年维持性血液透析患者进行高磷血症管理提供了参考。Objective To retrieve,evaluate and summarize the relevant evidence on the management of hyperphosphatemia in adult maintenance hemodialysis patients.Methods Domestic and foreign databases and relevant professional websites were searched for best practices,evidence summaries,guidelines,expert consensus and systematic reviews on hyperphosphatemia in adult maintenance hemodialysis patients.The retrieval time was from the establishment of the databases to January 2023.The methodological quality of the included articles was evaluated,and the best evidence was extracted and summarized.Results A total of 13 articles were included,including 2 clinical decisions,4 guidelines and 7 systematic reviews.A total of 23 evidences were summarized from 5 aspects,including blood phosphorus monitoring,adequate dialysis,diet control,drug management and health education.Conclusions This study summarizes the best evidence on the management of hyperphosphatemia in maintenance hemodialysis patients and provides a reference for clinicians to manage hyperphosphatemia in adult maintenance hemodialysis patients.

关 键 词：高磷血症 血液透析 证据总结 循证护理学 

分 类 号：R473.5[医药卫生—护理学]