经皮内镜下胃造口术导管移位预防与管理的证据总结  

Evidence summary for the prevention and management of catheter displacement of Percutaneous Endoscopic Gastrostomy

作　　者：李嘉琪 左俊焘 徐瑶 姚红林 叶向红 LI Jiaqi;ZUO Juntao;XU Yao;YAO Honglin;YE Xianghong(Medical College,Nanjing University,Nanjing,210093,China)

机构地区：[1]南京大学医学院,南京市210093 [2]蚌埠医学院研究生院 [3]南京大学医学院附属金陵医院普通外科

出　　处：《中国护理管理》2024年第1期84-89,共6页Chinese Nursing Management

基　　金：军事医学创新工程(18CXZ040)。

摘　　要：目的 :总结关于预防和管理经皮内镜下胃造口术导管移位的证据,为临床医护人员管理经皮内镜下胃造口术导管提供参考。方法 :计算机检索Up ToDate、Embase、中国知网等国内外数据库中关于经皮内镜下胃造口术患者导管移位的文献,检索时限为建库至2023年4月1日,对纳入的文献进行质量评价,提取、整合形成证据。结果 :共纳入10篇文献,其中指南7篇、专家共识1篇、最佳实践1篇、临床决策1篇,从建立多学科管理团队、围手术期导管移位预防措施、术后管路管理、导管位置确定、导管移位处理、健康教育及随访,共6个方面总结出26条证据。结论 :所总结的关于预防和管理经皮内镜下胃造口术导管移位的证据可应用于临床实践,促进经皮内镜下胃造口术导管的规范化管理。Objective:To summarize the available evidence on the prevention and management of Percutaneous Endoscopic Gastrostomy(PEG)catheter displacement,and provide a reference to the management of PEG.Methods:Evidence of PEG catheter displacement was retrieved from UPToDate,Embase,CNKI and other databases from inception to April 1,2023.The quality of the included literature was evaluated,data were extracted and form evidence.Results:A total of 10 literature were included,including 7 guidelines,1 expert consensus,1 recommended practice,and 1 clinical decision.Totally 26 pieces of evidence were summarized from 6 aspects:establishment of multidisciplinary management team,prevention measures for perioperative catheter displacement,management of postoperative pipeline,determination of catheter location,management of catheter displacement,health education and follow-up.Conclusion:The summarized evidence on the prevention and management of PEG catheter displacement can be applied to clinical practice and promote the standardized management of PEG.

关 键 词：经皮内镜下胃造口术 导管移位 循证护理 证据总结 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]