颈髓损伤患者围手术期肠道管理的最佳证据总结  

Summary of the best evidence for perioperative bowel management in patients with cervical spinal cord injury

作　　者：汪彩莲 刘子琳 李邱雪 胡可纯 段蓓蓓 张跃 刘维维[1] Wang Cailian;Liu Zilin;Li Qiuxue;Hu Kechun;Duan Beibei;Zhang Yue;Liu Weiwei(School of Nursing,Capital Medical University,Beijing 100069,China;General Office,Beijing Haidian District Health School,Beijing 100192,China;Department of Nursing,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,China;Department of Respiratory,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]北京市海淀区卫生学校综合办公室,北京100192 [3]首都医科大学附属北京世纪坛医院护理部,北京100038 [4]首都医科大学附属北京朝阳医院呼吸科,北京100020

出　　处：《中国实用护理杂志》2024年第32期2521-2527,共7页Chinese Journal of Practical Nursing

基　　金：中华医学会杂志社护理学科研究课题(CMAPH-NRI2019041)。

摘　　要：目的检索、评价和总结颈髓损伤患者围手术期肠道管理的最佳研究证据,为临床护理实践提供循证依据。方法系统检索UpToDate、Cochrane Library、PubMed、中国知网、万方数据库等数据库、国内外相关指南网及专业协会中关于颈髓损伤围手术期肠道管理的文献。检索时间为建库至2023年10月1日。对纳入文献的质量进行评价并提取、汇总证据。结果最终纳入文献9篇,包括指南2篇、专家共识2篇、随机对照研究1篇、观察性研究4篇。从评估、饮食管理、身体活动、物理疗法、药物疗法、肠道并发症预防与管理共6个方面总结出25条证据。结论本研究总结的颈髓损伤患者围手术期肠道管理的最佳证据,可为临床护理实践提供参考。ObjectiveTo search,evaluate and summarize the best research evidence of perioperative intestinal management in patients with cervical spinal cord injury,so as to provide evidence-based basis for clinical nursing practice.MethodsLiterature on perioperative intestinal management of cervical spinal cord injury were systematically searched in databases,domestic and foreign relevant guidlines network and professional associations,such as UpToDate,Cochrane Library,PubMed,China National Knowledge Infrastructure,Wanfang Database,etc.The search period was from the establishment of the databases to October 1,2023.The quality of the included literature was evaluated and the evidence was extracted and summarized.ResultsFinally,9 articles were included,including 2 guidelines,2 expert consensuses,1 randomized controlled trials,and 4 observational studies.Twenty-five pieces of evidence were summarized across six aspects:assessment,diet management,physical activity,physical therapy,drug therapy,prevention and management of intestinal complications.ConclusionsThe best evidence of perioperative intestinal management in patients with cervical spinal cord injury summarized in this study can provide reference for clinical nursing practice.

关 键 词：围手术期护理 颈髓损伤 肠道管理 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]