颈动脉支架植入术患者围手术期血压管理的最佳证据总结  

Summary of the best evidence for perioperative blood pressure management in carotid artery stenting patients

作　　者：杨红燕[1] 兰美娟[1] 魏慧[1] 柳妙妙 杨婷 杨玲虹 YANG Hongyan;LAN Meijuan;WEI Hui;LIU Miaomiao;YANG Ting;YANG Linghong

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华急危重症护理杂志》2024年第1期80-85,共6页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江大学省教育厅项目(Y202249689)。

摘　　要：目的检索、评价并总结国内外关于颈动脉支架植入术(carotid artery stenting,CAS)患者围手术期血压管理的最佳证据,以期为临床实践提供参考。方法按照“6S”金字塔模型系统检索国内外数据库有关CAS患者围手术期血压管理的相关文献,文献类型包括临床决策、指南、专家共识及系统评价,检索时限为建库至2023年4月18日。由2名研究者独立进行文献质量评价及证据提取。结果共纳入7篇文献,包括2篇临床决策、3篇指南和2篇专家共识,围绕血压管理原则、术前血压管理、术中血压管理和术后血压管理4个方面总结出23条证据。结论该研究总结了CAS患者围手术期血压管理的最佳证据,证据总体质量较高。建议医护人员针对不同人群制订适宜的个体化的血压管理方案,以更好地促进患者的血压管理。Objective To search,evaluate and summarize the best evidence of perioperative blood pressure management in carotid artery stenting(CAS)patients at home and abroad,in order to provide reference for clinical practice.Methods We retrieved relevant literature on perioperative blood pressure management of CAS patients in domestic and foreign databases based on the"6S"pyramid model system.The literature types included clinical decision-making,guideline,expert consensus,and systematic review.The retrieval time was from the establishment of the database to April 18,2023.Two researchers independently evaluated the quality of the literature and extracted evidence.Results A total of 7 literature were included,including 2 clinical decisions,3 guidelines and 2 expert consensus papers.Twenty-three pieces of evidence were summarized from four aspects including blood pressure management principles,preoperative blood pressure management,intraoperative blood pressure management,and postoperative blood pressure management.Conclusion This study summarizes the best evidence for perioperative blood pressure management in CAS patients.The overall quality of the evidence is high,and it is recommended that medical staff develop appropriate personalized blood pressure management plans for different groups of people to better promote patient blood pressure management.

关 键 词：颈动脉支架植入术 围手术期 血压管理 循证护理学 

分 类 号：R473.6[医药卫生—护理学]