儿童外周动脉导管管理的最佳证据总结  

Summary of the Best Evidence for Peripheral Arterial Catheter Management in Children

作　　者：徐婷婷 张伟英[2] 李燕[1] 王祝平 罗雯懿[4] 吕剑虹[2] XU Tingting;ZHANG Weiying;LI Yan(Shanghai Children's Hospital/Shanghai Children's Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,200062,China;不详)

机构地区：[1]上海市儿童医院/上海交通大学医学院附属儿童医院,上海200062 [2]同济大学附属东方医院,上海200120 [3]上海交通大学医学院附属瑞金医院卢湾分院,上海200020 [4]上海交通大学医学院附属上海儿童医学中心,上海200127

出　　处：《中国卫生质量管理》2024年第6期44-49,共6页Chinese Health Quality Management

基　　金：上海交通大学医学院护理学科建设项目(编号:沪交医护〔2023〕3号);同济大学医学院学科建设三年行动计划重点学科项目(编号:JS2210103)。

摘　　要：目的检索、评价和总结儿童外周动脉导管管理的最佳证据,为临床医护人员规范化操作提供循证依据。方法检索UpToDate、BMJ Best Practice、国内外相关指南网站、中英文数据库以及专业协会网站中关于儿童外周动脉导管管理的临床决策、指南、专家共识、证据总结、系统评价文献。由两名研究人员独立对文献进行筛选、质量评价、证据提取。结果共纳入16篇文献,其中临床决策1篇、指南5篇、证据总结8篇、系统评价2篇。汇总形成包括导管留置、导管维护、并发症预防与处理、导管拔除4个方面共31条的最佳证据。结论在证据转化应用过程中,医护人员可结合临床情境制订儿童外周动脉导管管理策略,以规范临床操作。Objective To retrieve,evaluate and summarize the best evidence of peripheral arterial catheter management in children,and provide evidence-based basis for the standardized operation of clinical staff.Methods The literatures were searched from UpToDate,BMJ Best Practice,guideline networks,domestic and international databases,and website of professional associations involving peripheral arterial catheter management in children.Literatures included best practice,guidelines,expert consensuses,evidence summaries,systematic reviews.Literature screening,quality evaluation,evidence extraction were conducted independently by two researchers.Results A total of 16 publications were included,involving 1 best practice,5 guidelines,8 evidence summaries,2 systematic reviews.31 pieces of evidence related to peripheral arterial catheter management in children were extracted and summarized into 4 items,including placement,maintenance,complication prevention and management,and extubation.Conclusion In the process of evidence transformation and application,the medical staff can formulate the management strategy of children's peripheral arterial catheter according to the clinical situation,so as to standardize the clinical operation.

关 键 词：动脉导管 外周动脉 儿童 导管管理 证据总结 循证护理 

分 类 号：R322.121[医药卫生—人体解剖和组织胚胎学] R47[医药卫生—基础医学]