儿童癫痫急性发作院外管理的最佳证据总结  

Summary of the best evidence for out-of-hospital management of acute seizures in children

作　　者：郭松领[1] 颜莉[1] 郑显兰[1] 崔璀[1] GUO Songling;YAN Li;ZHENG Xianlan;CUI Cui(Children's Hospital of Chongqing Medical University&National Clinical Medical Research Center for Child Health and Disease,Key Laboratory of Child Developmental Diseases&National Clinical Research Center for Child Health and Disease of Ministry of Education&Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院、国家儿童健康与疾病临床医学研究中心、儿童发育疾病教育部重点实验室、儿科学重庆市重点实验室,重庆400014

出　　处：《护士进修杂志》2024年第16期1754-1759,共6页Journal of Nurses Training

基　　金：国家儿童健康与疾病临床医学研究中心临床医学研究青年项目(编号:2021-60-19);重庆市科卫联合医学中青年高端人才科研项目(编号:2022GDRC007)。

摘　　要：目的检索、评价并整合儿童癫痫急性发作院外管理的最佳证据。方法根据PIPOST模式构建循证问题,按照“6S”证据模型,系统检索关于儿童癫痫急性发作院外管理的指南、专家共识和系统评价,检索时限为建库至2023年2月28日。4名研究者对纳入的指南质量进行评价,系统评价和专家共识由2名研究者完成评价,并对证据进行提取、整合。结果共纳入15篇文献,包括指南5篇、系统评价7篇和专家共识3篇,总结出5个类别共25条最佳证据。结论本研究总结了儿童癫痫急性发作院外管理的最佳证据,可为本土化儿童院外惊厥急性发作行动计划制定提供参考,为医护人员开展儿童癫痫急性发作院外管理健康教育提供循证依据。Objective To retrieve,evaluate,and integrate the best evidence for out-of-hospital management of acute seizures in children.Methods The evidence-based problems were constructed by the PIPOST model,and according to the"6S"evidence model,the guidelines,expert consensus,and systematic evaluation of acute seizure of children were systematically searched,and the search time was the database establishment until February 28,2023.Four investigators evaluated the quality of the included guidelines,and the systematic evaluation and expert consensus were completed by 2 investigators,and the evidence was extracted and integrated.Results A total of 15 articles were included,including 5 guidelines,7 systematic reviews,and 3 expert consensus,which summarizing 25 best evidence in 5 categories.Conclusion The best evidence of out-of-hospital management of acute seizures in children is summarized in this study,which can provide reference for the development of action plan for acute seizures of acute epilepsy in children,and provide evidence-based basis for medical staff to conduct out-of-hospital management health education for acute seizures of childhood epilepsy.

关 键 词：癫痫 儿童 急性发作 证据总结 循证护理 

分 类 号：R473.72[医药卫生—护理学] R748[医药卫生—临床医学]