辅助生殖技术中的卵巢过度刺激综合征风险预警指标体系的构建  

Construction of risk early-warning and evaluation index system for ovarian hyperstimulation syndrome in assisted reproductive technology

作　　者：吴祝凤 刘春林 刘俊 李朝艳 周恒曦 WU Zhufeng;LIU Chunlin;LIU Jun;LI Chaoyan;ZHOU Hengxi(Guangzhou Women and Children′s Medical Center,Guangdong 510000 China)

机构地区：[1]广州市妇女儿童医疗中心,510000

出　　处：《全科护理》2023年第33期4614-4618,共5页Chinese General Practice Nursing

基　　金：广州市卫生健康委员会一般引导项目,编号:20221A011036。

摘　　要：目的:构建卵巢过度刺激综合征风险预警指标体系,为临床医护人员进行预警判断和预防管理提供参考依据。方法:采用循证的方法提取相关系统评价、指南中的可靠性证据指标,然后采用专家咨询法对风险因素指标进行优化、调整,并根据专家对指标重要性的评分,应用优序图法计算各指标权重。结果:2轮咨询的专家权威系数分别为0.90和0.87,肯德尔协调系数分别为0.46和0.59,均P<0.001。最终形成的风险预警指标体系包含各阶段评估指标共16项。结论:研究构建的风险预警指标体系既参考国外指南,又结合我国实际,科学可靠,操作性强,可以协助医护人员连续准确地评估卵巢过度刺激风险。Objective:To construct a risk early-warning and evaluation index system for ovarian hyperstimulation syndrome,and provide reference for clinical medical staff in early-warning judgment and prevention management.Methods:Evidence-based methods were used to extract the reliability evidence indicators from the relevant system evaluation and guidelines,and then the expert consultation method was used to optimize and adjust the risk factor indicators,and the weight of each indicator was calculated by using the order graph method according to the expert′s evaluation scores.Results:The expert authority coefficients of the two rounds of consultation were 0.90 and 0.87,and the Kendall coordination coefficients were 0.46 and 0.59,respectively,both P<0.001.The final risk early warning index system consisted of 16 evaluation indicators at each stage.Conclusions:The risk early-warning and evaluation index system constructed in this study not only refers to foreign guidelines,but also combines with the actual situation in China,which is scientific,reliable and highly operational,and can assist medical staff to continuously and accurately assess the risk of ovarian hyperstimulation.

关 键 词：卵巢过度刺激综合征 循证医学 风险预警 辅助生殖技术 

分 类 号：R473.71[医药卫生—护理学]