痔切除术后患者疼痛管理的最佳证据总结  

Best evidence summary of pain management for patients after hemorrhoidectomy

作　　者：李怡璇 王秋爽 温丽辉 薄灵芳 陈祺 冯江雪[2] LI Yixuan;WANG Qiushuang;WEN Lihui;BO Lingfang;CHEN Qi;FENG Jiangxue(Nursing College of Hebei University of Traditional Chinese Medicine,Shijiazhuang,Hebei,050200;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei,050013)

机构地区：[1]河北中医药大学护理学院,河北石家庄050200 [2]河北省中医院,河北石家庄050013

出　　处：《实用临床医药杂志》2024年第7期124-128,共5页Journal of Clinical Medicine in Practice

基　　金：河北省中医药管理局2021年度中医药类科研计划课题(2021017)。

摘　　要：目的对痔切除术后患者疼痛管理的相关文献进行检索、评估,总结最佳证据。方法根据6S证据模型,采用计算机检索国内外相关数据库中痔切除术后疼痛的相关文献,包括指南、专家共识、系统评价、荟萃分析、随机对照试验(RCT),时间为建库至2023年3月12日。依据相应文献评价标准,对符合文献评价标准的证据进行质量评价,并结合专家意见加以提炼归纳。结果共收录文献16篇,包含指南1篇、专家共识6篇、系统评价8篇、RCT 1篇;证据内容包括疼痛的识别与评估、药物管理措施、中医疗法、围术期健康教育,共提取21条证据。结论痔切除术后应根据患者的病情及临床状况制订最高效的疼痛管理方案,以减轻患者术后疼痛。Objective To retrieve and evaluate relevant literatures on pain management for patients after hemorrhoidectomy and summarize the best evidence.Methods Based on the 6S evidence model,computer-based searches were conducted in relevant domestic and foreign databases for literatures related to pain after hemorrhoidectomy,including guidelines,expert consensus,systematic reviews,meta-analysis,and randomized controlled trial(RCT),from the establishment of the databases to March 12,2023.The quality of evidence meeting the evaluation criteria was evaluated according to the corresponding literature evaluation criteria,and was summarized in combination with expert opinions.Results A total of 16 literatures were included(1 guideline,6 expert consensus,8 systematic reviews,and 1 RCT);the evidence included pain identification and assessment,drug management measures,traditional Chinese medicine therapy,and perioperative health education,eventually 21 pieces of evidence were extracted.Conclusion After hemorrhoidectomy,the most effective pain management plan should be developed based on the patient's condition and clinical status to relieve postoperative pain.

关 键 词：痔切除术 疼痛管理 证据总结 疼痛评估 疼痛识别 循证护理 

分 类 号：R574.8[医药卫生—消化系统] R473.6[医药卫生—内科学] R319[医药卫生—临床医学]