食管癌术后早期肺部感染预防管理的最佳证据总结  

Summary of the best evidence on the prevention and management of pulmonary infection after esophageal cancer surgery

作　　者：李清炉 施雯停 王楠[1] 王国蓉 LI Qing-lu(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan,China)

机构地区：[1]成都中医药大学,四川成都610075 [2]四川大学华西第四医院,四川成都610041

出　　处：《牡丹江医科大学学报》2025年第2期84-88,95,共6页Journal of Mudanjiang Medical University

基　　金：四川省抗癌协会重点课题(XH20235007)。

摘　　要：目的系统检索并总结食管癌术后肺部感染预防管理的相关证据,为临床实践提供循证依据。方法由专业循证团队参照“6S”证据模型检索文献,系统检索UpToDate、BMJ、JBI、PubMed、Cochrane Library、CNKI等15个中英文数据库及指南网站,检索时限为建库至2024年3月2日。采用JBI循证卫生保健中心的文献评价工具和证据预分级系统进行文献质量评价及证据级别评定。结果经检索和文献质量评价后,共纳入16篇文献。最终形成患者评估、症状识别、预康复、口咽净化与呼吸道准备、术中肺保护、术后活动训练、管道护理和全程综合干预8个方面共26条证据。结论该研究总结了食管癌术后肺部感染预防管理的最佳证据,在证据的应用转化时需结合临床实际情况选择最佳证据。Objective To systematically retrieve relevant evidence on the prevention and management of pulmonary infections following esophageal cancer surgery,providing an evidence-based basis for clinical practice.Results A total of 16 articles were included,forming 26 pieces of evidence across eight aspects including patient assessment,symptom recognition,pre-rehabilitation,oropharyngeal decontamination and respiratory tract preparation,intraoperative lung protection,postoperative activity training,pipeline care and comprehensive intervention.Conclusion This study summarizes the best evidence on the prevention and management of pulmonary infection after esophageal cancer surgery and provides evidence-based foundation for clinical practice.

关 键 词：食管癌 肺部感染 预防 证据总结 

分 类 号：R735.1[医药卫生—肿瘤]