胸外科患者围手术期疼痛管理的最佳证据总结  

Summary of the best evidence for perioperative pain management in thoracic surgery patients

作　　者：何爽 杨慧 陈瑞云 张雨思 丁倩 He Shuang;Yang Hui;Chen Ruiyun;Zhang Yusi;Ding Qian(Department of Thoracic Surgery,Henan Provincial People's Hospital,Zhengzhou University People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院胸外科郑州大学人民医院,郑州450003

出　　处：《中国实用护理杂志》2025年第9期657-663,共7页Chinese Journal of Practical Nursing

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200007)。

摘　　要：目的筛选胸外科围手术期疼痛管理相关证据,并汇总最佳证据,为临床护理实践提供循证依据。方法系统检索Cochrane Library、国际疼痛研究协会、美国疼痛协会、万方、中国知网等数据库中与胸外科患者围手术期疼痛管理相关的指南、临床决策、证据总结、最佳实践、系统评价、专家共识,检索时限为建库至2023年12月31日。由2名研究人员进行质量评价及证据提取。结果纳入12篇文献,包含指南6篇、系统评价4篇、专家共识2篇。总结出涵盖组织管理、计划、教育、评估、实施、评价6个方面的30条证据。结论本研究汇总的最佳证据,可为规范胸外科患者围手术期疼痛管理提供循证依据。Objective To screen the evidence related to perioperative pain management in thoracic surgery and summarize the best evidence,so as to provide evidence-based basis for clinical nursing practice.Methods Databases such as Cochrane Library,International Association for the Study of Pain,American Pain Society,Wanfang Database,and China National Knowledge Infrastructure were systematically searched for guidelines,clinical decisions,evidence summaries,best practices,systematic reviews,and expert consensus related to perioperative pain management in thoracic surgery patients.The retrieval time limit was from the establishment of the database to December 31,2023.Two researchers conducted quality evaluation and evidence extraction.Results A total of 12 articles were included,including 6 guidelines,4 systematic reviews,and 2 expert consensuses.Thirty pieces of evidence covering six aspects including organizational management,planning,education,assessment,implementation,and evaluation were summarized.ConclusionsThe best evidence summarized in this study can provide evidence-based basis for standardizing the perioperative pain management of thoracic surgery patients.

关 键 词：疼痛 胸外科 围手术期 证据总结 

分 类 号：R47[医药卫生—护理学]