甲状腺术后颈部出血预防及管理的最佳证据总结  

Best evidence summary for prevention and management of neck bleeding after thyroid surgery

作　　者：卢歌玲 罗伟香 欧静 郑春娆 LU Ge-ling;LUO Wei-xiang;OU Jing;ZHENG Chun-rao(Operating Room,Thyroid and Breast Surgery Center,Shenzhen People’s Hospital(the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518020,China;Dept.of Nursing Administration,Thyroid and Breast Surgery Center,Shenzhen People’s Hospital(the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518020,China;Dept.of Tumor Radiotherapy,Thyroid and Breast Surgery Center,Shenzhen People’s Hospital(the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518020,China;Dept.of General Surgery,Thyroid and Breast Surgery Center,Shenzhen People’s Hospital(the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518020,China)

机构地区：[1]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)手术室,广东深圳518020 [2]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)护理部,广东深圳518020 [3]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)肿瘤放疗科,广东深圳518020 [4]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)普外科甲状腺乳腺外科中心,广东深圳518020

出　　处：《护理学报》2024年第2期59-64,共6页Journal of Nursing（China）

基　　金：深圳市医学重点学科建设经费(No.SZXK015);广东省和国家临床重点专科建设项目。

摘　　要：目的检索和汇总甲状腺手术患者颈部出血预防及管理的最佳证据,以指导临床实践工作的开展。方法基于6 s证据模型由上至下检索数据库有关甲状腺切除手术颈部出血预防和管理的指南、临床决策、专家共识等相关文献,检索时限为建库至2023年6月,2名研究人员独立评价文献质量并进行证据提取。结果共纳入文献35篇,其中临床决策1篇,指南5篇,专家共识13篇,系统评价16篇,从风险管理、预防措施、临床监测以及治疗原则等7个方面汇整46条证据。结论本文汇总甲状腺手术后颈部出血预防及管理的最佳证据,可为医护人员制定甲状腺手术患者颈部出血管理方案提供依据。Objective To retrieve and summarize the best evidence for the prevention and management of neck bleeding in patients undergoing thyroid surgery,and to guide clinical practice.Methods Based on the 6S evidence pyramid,guidelines,clinical decision-making,expert consensus,and other relevant literature on the prevention and management of neck bleeding in thyroidectomy were retrieved from the databases.The retrieval period spanned from the inception of the database to June 2023.Two researchers independently evaluated the quality of the literature and extracted the evidence.Results A total of 35 articles were included,including 1 clinical decision-making,5 guidelines,13 expert consensuses,and 16 systematic reviews.A total of 46 pieces of evidence were summarized from 7 aspects,including risk management,preventive measures,clinical monitoring,treatment principles,etc.Conclusion We summarizes the best evidence for the prevention and management of neck bleeding after thyroid surgery,providing reference for healthcare professionals to develop management plans for neck bleeding in patients undergoing thyroid surgery.

关 键 词：甲状腺癌 颈部出血 管理 证据总结 

分 类 号：R473.58[医药卫生—护理学]