内镜下肠息肉切除日间手术管理的证据总结  

Summary of evidence on day surgery management of endoscopic resection of intestinal polyps

作　　者：钟志航 马燕兰[2] 吴静 ZHONG Zhihang;MA Yanlan;WU Jing(The First Affiliated Hospital of Army Medical University,Chongqing 400038;General Hospital of the People′s Liberation Army)

机构地区：[1]中国人民解放军陆军军医大学第一附属医院,重庆400038 [2]解放军总医院卫勤训练中心

出　　处：《天津护理》2024年第5期543-549,共7页Tianjin Journal of Nursing

摘　　要：目的:评价与总结内镜下肠息肉切除日间手术管理的最佳证据。方法:检索UpToDate、WHO指南库、NICE指南、美国国立临床诊疗指南数据库、苏格兰大学校际指南协作网、JBI图书馆、Cochrane图书馆、PubMed、医脉通、知网、万方医学网、中国日间手术协会、中国日间手术合作联盟关于内镜下肠息肉切除日间手术的临床实践指南、专家共识、推荐实践、临床决策、系统评价、证据总结等。由2名研究者对文献质量进行评价和证据提取。结果:共纳入文献11篇,包括4篇临床实践指南,4篇专家共识和3篇证据总结。总结的最佳证据包括内镜下肠息肉切除日间手术管理的6个阶段32条证据,涉及入院前的筛查、评估、宣教;入院前1天肠道准备;入院后的术前评估、人文关怀,术中的麻醉管理、标本处理,术后的并发症及康复管理以及出院后的随访管理。结论:内镜下肠息肉切除术日间手术管理的证据总结可为日间手术病房医护人员提供循证依据,建议在证据转化时将科研结论、临床经验以及患者具体情况相结合,制定符合个体化的管理方案。Objective:To evaluate and summarize the best evidence for day surgery management of endoscopic resection of intestinal polyps.Methods:All evidence on day surgery management of endoscopic resection of intestinal polyps including clinical practice guidelines,expert consensus,recommended practice,clinical decision making,systematic evaluation,evidence summary was obtained from UpToDate,WHO Guidelines,NICE Guidelines,the National Guidelines Clearinghouse(NGC),the Scottish Intercollegiate Guidelines Network(SIGN),the Joanna Briggs Institute(JBI)Library,the Cochrane Library,PubMed,Medlive,CNKI,WanFang Med Online,China Day Surgery Association,and China Ambulatory Surgery Alliance.Two researchers evaluated the quality of the extracted evidence.Results:A total of 11 articles were included,including 4 clinical practice guidelines,4 expert consensus,and 3 evidence summaries.The summarized best evidence includes 32 pieces of evidence across 6 stages of day surgery management for endoscopic resection of intestinal polyps.These stages cover pre-admission screening,assessment,and education;bowel preparation on the day before admission;preoperative assessment and patient care after admission;anesthesia management and specimen handling during the procedure;postoperative complications and rehabilitation management;and follow-up care after discharge.Conclusion:The evidence summary on day surgery management of endoscopic resection of intestinal polyps can provide evidence-based guidance for medical staff in day surgery units.It is recommended that when translating evidence into practice,clinical conclusions,clinical experience,and individual patient circumstances be combined to develop personalized management plans.

关 键 词：日间手术 肠息肉 证据总结 

分 类 号：R473[医药卫生—护理学]