耵聍栓塞患者外耳道冲洗的最佳证据总结  

Summary of the best evidence for external auditory canal irrigation in patients with cerumen embolism

作　　者：袁汝亚 许薇[1] 杨小璐 邓燕玲 黄晓嫦 李小芬 刘成成 胡丽茎[5] Yuan Ruya;Xu Wei;Yang Xiaolu;Deng Yanling;Huang Xiaochang;Li Xiaofen;Liu Chengcheng;Hu Lijing(Department of Otolaryngology,the First Affiliate Hospital,Sun Yat-sen University,Guangzhou 510080,China;Gastrointestinal Surgery,Guangdong Provincial People's Hospital,Guangzhou 510000,China;Department of Gerontology,the First Affiliate Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Neurology,the First Affiliate Hospital,Sun Yat-sen University,Guangzhou 510080,China;Nursing Department,the First Affiliate Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科,广州510080 [2]广东省人民医院胃肠外科,广州510000 [3]中山大学附属第一医院老年医学科,广州510080 [4]中山大学附属第一医院神经科,广州510080 [5]中山大学附属第一医院护理部,广州510080

出　　处：《中华现代护理杂志》2024年第31期4234-4240,共7页Chinese Journal of Modern Nursing

摘　　要：目的总结耵聍栓塞患者外耳道冲洗的最佳证据。方法检索BMJ Best Practice、UpToDate、国际指南协作网、英国国家卫生与临床优化研究所、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、PubMed、Embase、中国知网、万方数据库、中国生物医学文献数据库等数据库和网站中关于耵聍栓塞患者外耳道冲洗的临床决策、指南、系统评价、专家共识、团体标准、证据总结和随机对照试验。文献检索时限为建库至2023年2月15日。由6名研究人员对文献进行筛选和方法学质量评价,并提取、汇总耵聍栓塞患者外耳道冲洗的最佳证据。结果共纳入9篇文献,其中临床决策1篇、指南2篇、系统评价2篇、团体标准1篇、随机对照试验3篇。从操作人员、操作前评估与准备、操作过程、操作后处理、健康教育和操作不良反应6个方面汇总了16条证据。结论本研究总结了耵聍栓塞患者外耳道冲洗的最佳证据。医护人员应结合临床情境和患者意愿,审慎地选择并应用证据。ObjectiveTo summarize the best evidence for external auditory canal irrigation in patients with cerumen embolism.MethodsThe clinical decisions,guidelines,systematic reviews,expert consensus,group standards,evidence summaries,and randomized controlled trials regarding external auditory canal irrigation in patients with cerumen embolism were retrieved from databases and websites such as BMJ Best Practice,UpToDate,Guidelines International Network,National Institute for Health and Clinical Excellence,Joanna Briggs Institute Evidence-Based Health Care Center Database,PubMed,Embase,China National Knowledge Infrastructure,WanFang data,and China Biology Medicine disc.The search period was from database establishment to February 15,2023.Six researchers screened the literature,evaluated the methodological quality,and extracted and summarized the best evidence for external auditory canal irrigation in patients with cerumen embolism.ResultsA total of nine articles were included,including one clinical decision,two guidelines,two systematic reviews,one group standard,and three randomized controlled trials.Sixteen pieces of evidence were summarized from six aspects of operators:pre-operation evaluation and preparation,operation process,post-operation handling,health education,and adverse reactions during operation.ConclusionsThis paper summarizes the best evidence for external auditory canal irrigation in patients with cerumen embolism.Medical and nursing staff should carefully select and apply evidence based on clinical scenarios and patient's wishes.

关 键 词：耵聍 栓塞 外耳道冲洗 证据总结 循证护理 

分 类 号：R473.76[医药卫生—护理学]