脊柱结核患者营养管理的最佳证据总结  

Summary of the Best Evidence for Nutritional Management in Patients with Spinal Tuberculosis

作　　者：郭华丽 雷燕萍 包延乔 邓芳芳 宋莉 王非凡 Guo Huali;Lei Yanping;Bao Yanqiao;Deng Fangfang;Song Li;Wang Feifan(Department of Orthopaedics,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Neurology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Respiratory and Critical Care Medicine,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Outpatient,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]骨科,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]神经内科,湖北宜昌443003 [3]三峡大学第一临床医学院[宜昌市中心人民医院]呼吸与危重症医学科,湖北宜昌443003 [4]三峡大学第一临床医学院[宜昌市中心人民医院]门诊部,湖北宜昌443003

出　　处：《巴楚医学》2024年第4期112-118,共7页Bachu Medical Journal

基　　金：湖北省教育厅哲学社会科学研究项目(No:20Y025);宜昌市医疗卫生研究项目(No:A23-1-031)。

摘　　要：目的:筛选、评估、提炼及汇总脊柱结核患者营养管理的相关证据,旨在为临床制定基于循证医学的脊柱结核患者营养管理策略提供有力参考。方法:采用循证护理理念,明确脊柱结核患者营养管理的PIPOST问题,系统检索国内外数据库及专业协会网站,检索时间范围设定为建库至2023年7月31日。随后,筛选出与脊柱结核营养管理紧密相关的文献,对纳入的文献进行严格的质量评估及证据等级划分,进而提炼出最佳证据。结果:本研究共纳入9篇文献,涵盖1篇指南、2篇系统评价、1篇随机对照试验、2篇队列研究、1篇病例对照研究及2篇专家意见。通过对这些文献的深入分析,我们汇总了4个关键领域的共计18条最佳证据,具体包括脊柱结核患者营养风险的评估与筛查、危险因素识别、营养支持方案及营养监测策略。结论:脊柱结核患者营养管理的相关证据为临床提供了坚实的循证基础,有助于制定更加科学、合理的营养管理方案,从而优化脊柱结核患者的治疗效果及生活质量。Objective:To screen,evaluate,refine,and summarize the relevant evidence of nutritional management for patients with spinal tuberculosis,aiming to provide a strong reference for clinically formulating evidence-based nutritional management strategies for spinal tuberculosis patients.Methods:Adopting the concept of evidence-based nursing,the PIPOST problem of nutritional management for spinal tuberculosis patients was clarified,and domestic and foreign databases and professional association websites were systematically searched,with the search time range set from the establishment of the database to July 31,2023.Subsequently,literature closely related to nutritional management of spinal tuberculosis was screened out,and the included literature was rigorously evaluated for quality and evidence level,thereby refining the best evidence.Results:A total of 9 articles were included in this study,covering 1 guideline,2 systematic reviews,1 randomized controlled trial,2 cohort studies,1 case-control study,and 2 expert opinions.Through in-depth analysis of these articles,we summarized a total of 18 pieces of best evidence in four key areas,specifically including the assessment and screening of nutritional risk,identification of risk factors,nutritional support programs,and nutritional monitoring strategies for spinal tuberculosis patients.Conclusion:The relevant evidence of nutritional management for spinal tuberculosis patients provides a solid evidence-based foundation for clinical practice,helping to formulate more scientific and reasonable nutritional management programs,thereby optimizing the treatment effect and quality of life of spinal tuberculosis patients.

关 键 词：脊柱结核 营养管理 证据总结 

分 类 号：R529.2[医药卫生—内科学]