胰源性糖尿病早期筛查及血糖管理的最佳证据总结  

Summary of the best evidence on early screening and glycemic management of pancreatogenic(Type 3c)diabetes

作　　者：田恬 吴兆荣 李雯[1,2] 王静 陈婷 王倩[3] Tian Tian;Wu Zhaorong;Li Wen;Wang Jing;Chen Ting;Wang Qian(Department of Gastroenterology,Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine,Nanjing 210008,China)

机构地区：[1]南京中医药大学鼓楼临床医学院消化内科,江苏南京210008 [2]南京中医药大学护理学院 [3]南京大学附属鼓楼临床医学院消化内科

出　　处：《护理学杂志》2024年第23期18-23,共6页Journal of Nursing Science

基　　金：江苏省研究生实践创新计划项目(SJCX24_0851);南京鼓楼医院护理科研项目(2024-B301)。

摘　　要：目的检索并总结胰源性糖尿病早期筛查及血糖管理的相关证据,为提高胰源性糖尿病检出率及有效血糖管理提供指引。方法计算机检索国内外数据库、指南网、专业协会网站有关胰源性糖尿病早期筛查及血糖管理文献,检索时限为建库至2024年5月31日。对纳入文献进行质量评价、证据提取和汇总。结果共纳入18篇文献,其中临床指南4篇、专家共识2篇、证据总结1篇、系统评价3篇、队列研究7篇、病例对照研究1篇。形成早期筛查目的、早期筛查方法、血糖控制目标、血糖管理策略4个方面共15个条目的最佳证据。结论胰源性糖尿病患者早期筛查及血糖管理的最佳证据可为医护人员实施早期筛查及血糖管理提供指引,在证据转化和应用过程中应结合临床情境,充分评估每条证据的适宜性和可行性。Objective To search and summarize the evidence relating to early screening and glycemic management of pancreatogenic diabetes,and to provide a guide for detection and effective management of pancreatogenic diabetes.Methods A systematic literature search was performed to identify relevant literature on screening and glycemic management of pancreatogenic diabetes across va-rious bibliometric databases,guideline websites,and websites of professional organizations and societies.The search time frame was from the inception of the database to May 31,2024.Quality of the eligible literature was evaluated and evidence was extracted.Results Eighteen publications were included,involving 4 guidelines,2 expert consensus statements,1 evidence summary,3 systematic reviews,7 cohort studies and 1 case-control study.A total of 15 pieces of best evidence were summarized,covering 4 aspects:the purpose of screening,screening methods,glycemic control target,and glycemic management strategies.Conclusion The best evidence for early screening and glycemic management of pancreatogenic diabetes can provide a guide for medical staff.Howe-ver,the appropriateness and feasibility of each piece of evidence should be assessed by considering clinical situations before evidence translation into practice.

关 键 词：胰源性糖尿病 3C型糖尿病 新发糖尿病 血糖管理 早期筛查 并发症 证据总结 循证护理 

分 类 号：R473.5[医药卫生—护理学] R576[医药卫生—临床医学]