新生儿外周静脉输液渗漏性损伤预防及管理的证据总结  

Evidence summary for prevention and management of infiltration and extravasation injuries in neonatal peripheral intravenous infusion

作　　者：代金丽 孙秋怡 何欢 税中屏 段海梅 何华云[1] DAI Jinli;SUN Qiuyi;HE Huan;SHUI Zhongping;DUAN Haimei;HE Huayun(Department of Neonate,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,School of Nursing,Chongqing Medical University,Chongqing,400014,China)

机构地区：[1]重庆医科大学附属儿童医院新生儿科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,重庆医科大学护理学院,重庆市400014

出　　处：《中国护理管理》2024年第7期1087-1093,共7页Chinese Nursing Management

基　　金：2022年重庆市科卫联合医学科研项目(2022QNXM031)。

摘　　要：目的:检索、评价及总结新生儿外周静脉输液渗漏性损伤预防及管理的相关证据,为临床实践提供依据。方法:系统检索Up ToDate、BMJ Best Practice、中国知网、万方数据库等中英文数据库或网站中关于新生儿外周静脉输液渗漏性损伤预防及管理的证据,包括指南、临床决策、证据总结、系统评价、专家共识等。检索时限为2013年1月1日至2024年3月31日。由4名接受过循证护理培训的研究人员对文献质量进行独立评价并提取证据。结果:共纳入10篇文献,其中指南4篇、专家共识3篇、系统评价3篇。最终从穿刺前评估、导管留置期间评估、静脉输液渗漏性损伤的分级与处理、质量改进4个方面总结了24条证据。结论:该研究总结的新生儿外周静脉输液渗漏性损伤预防及管理的证据,可为临床静脉输液渗漏预防提供依据,建议临床基于证据结合科室和新生儿的实际情况,制定护理措施,减少新生儿外周静脉输液渗漏发生。Objective:To retrieve,evaluate,and summarize relevant evidence on the prevention and management of infiltration and extravasation injuries in neonates to guide clinical practice.Methods:We searched UpToDate,BMJ Best Practice,CNKI and other Chinese and English database or websites to collect relevant guidelines,clinical decisions,evidence summaries,systematic reviews and expert consensuses published from January 1,2013 to March 31,2024.Four researchers who had received systematic evidence-based knowledge training independently evaluated the quality of the literature and extracted evidence.Results:A total of 10 articles were included,including 4 guidelines,3 expert consensuses,and 3 systematic reviews.A total of 24 pieces of evidence were collected,mainly involving 4 aspects of skin assessment,venous catheter assessment,classification and treatment of infiltration and extravasation,quality control.Conclusion:This study summarizes the evidence for the prevention and management of infiltration and extravasation injuries in neonates,providing a basis for preventing extravasation in clinical intravenous infusion.It suggests that clinical nursing measures should be formulated based on evidence,combined with the actual situation of departments and neonates,to reduce the occurrence of infiltration and extravasation in neonatal peripheral intravenous infusion and improve nursing quality.

关 键 词：新生儿 输液渗漏性损伤 循证护理学 证据总结 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]