自体动静脉内瘘狭窄介入治疗手术后管理的证据总结  

Evidence summary for the management of autologous arteriovenous fistula stenosis after interventional therapy

作　　者：刘旺兴[1] 申微 罗逊[2] 施文剑[2] 彭雪玲 谢萍[1] 刘东玲 胡正中 李鑫[5] LIU Wang-xing;SHEN Wei;LUO Xun;SHI Wen-jian;PENG Xue-ling;XIE Ping;LIU Dongling;HU Zheng-zhong;LI Xin(Blood Purification Center,Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Department of Nephrology,Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Disinfection Supply Center,Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Operating Theatre,Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Oncology Department,University of South China Affiliated Changsha Central Hospital,Changsha 410004,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)血液净化中心一部,长沙410005 [2]湖南省人民医院(湖南师范大学附属第一医院)肾内科,长沙410005 [3]湖南省人民医院(湖南师范大学附属第一医院)消毒供应中心一部,长沙410005 [4]湖南省人民医院(湖南师范大学附属第一医院)手术室一部,长沙410005 [5]南华大学附属长沙中心医院肿瘤科,长沙410004

出　　处：《中国血液净化》2024年第12期938-942,共5页Chinese Journal of Blood Purification

基　　金：湖南省卫生健康委科研计划项目(B202314017099);长沙市2021年度指导性科技计划项目(kzd21061)。

摘　　要：目的检索并评价整合自体动静脉内瘘(arteriovenous fistula,AVF)狭窄介入治疗手术后管理的相关证据,为临床实践提供循证证据。方法按照“6S”模型系统检索计算机临床决策系统、指南数据库、国内外数据库及相关专业协会网站关于AVF狭窄介入治疗手术后管理的证据,检索时限为建库至2024年2月26日。由4名研究者独立对各类文献质量评价后进行证据提取与汇总。结果共纳入9篇文献,其中临床决策5篇、指南3篇、专家共识1篇,从手术后评估与监测、手术后用药、AVF穿刺与维护、并发症预防及处理和患者教育5个方面总结了25条证据。结论本研究总结、形成了AVF狭窄介入治疗手术后管理的最佳证据,具有一定的科学性和实用价值,可为医护人员提供循证依据,对科学护理介入治疗手术后患者的AVF具有指导意义。Objective To retrieve and evaluate the relevant evidence about the integrated management of autologous arteriovenous fistula(AVF)stenosis after interventional therapy,and to provide evidence-based data for clinical practice.Methods According to the"6S"model system,the evidence about postoperative management of AVF stenosis after interventional therapy was retrieved from computer clinical decision-making system,guideline database,domestic and foreign databases,and websites of relevant professional associations.The retrieval time was ended at February 26,2024.After independent evaluation of the quality of retrieved documents by four researchers,the evidence was extracted and summarized.Results A total of 9 articles were included,including 5 clinical decisions,3 guidelines and one expert consensus.Twenty-five items of evidence were summarized from five aspects:postoperative evaluation and monitoring,postoperative medication,puncture and maintenance of arteriovenous fistula,prevention and treatment of complications and patient education.Conclusion This study summarizes the best evidence of postoperative management of AVF stenosis after interventional therapy,having scientific and practical value in that it provides evidence-based information for medical and nursing care staff to scientifically manage the AVF stenosis patients after interventional therapy.

关 键 词：动静脉内瘘 经皮腔内血管成形术 循证护理学 

分 类 号：R318.16[医药卫生—生物医学工程]