动脉瘤性蛛网膜下腔出血患者术后肺部感染管理的最佳证据总结  

Best evidence summary for postoperative pulmonary infections management in patients with aneurysmal subarachnoid haemorrhage

作　　者：武妮妮 许娟 张雨薇[3] 马倩茹 刘丽萍 Wu Nini;Xu Juan;Zhang Yuwei;Ma Qianru;Liu Liping(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong 030619,Shanxi Province,China;Inpatient Department of Shanxi Provincial People’s Hospital,Taiyuan 030012,Shanxi Province,China;School of Nursing,Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;Endoscopy Centre of Shanxi Provincial People’s Hospital,Taiyuan 030012,Shanxi Province,China)

机构地区：[1]山西中医药大学护理学院,山西晋中030619 [2]山西省人民医院住院部,山西太原030012 [3]山西医科大学护理学院,山西太原030001 [4]山西省人民医院消化内镜中心,山西太原030012

出　　处：《现代临床护理》2025年第3期54-61,共8页Modern Clinical Nursing

摘　　要：目的 汇总动脉瘤性蛛网膜下腔出血(aneurysmal subarachnoid hemorrhage,aSAH)患者术后肺部感染管理的最佳证据,为临床医护人员提供参考。方法 使用计算机检索BMJ Best Practice,UpToDate,Cochrane Library,美国国立指南库,澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库,英国国家临床医学研究所(National Institute for Health and Care Excellence,NICE),医脉通指南网,Embase,CINAHL,Web of Science,PubMed,CNKI,维普,万方,SinoMed,中华医学全文数据库中关于动脉瘤性蛛网膜下腔出血患者肺部感染管理的临床指南,临床决策,专家共识,证据总结,系统评价,Meta分析,随机对照试验(randomized controlled trial,RCT)。遵循纳入原则筛选文献,进行质量评价并汇总证据。结果 共纳入16篇文献,其中临床指南3篇,临床决策2篇,专家共识7篇,系统评价3篇,随机对照试验1篇。最终形成共30条证据,包括团队管理、风险评估、误吸管理、气道管理、营养支持、口腔护理、康复训练7个方面。结论 本研究总结的动脉瘤性蛛网膜下腔出血患者术后肺部感染管理的最佳证据可为临床医护人员提供参考,建议医护人员结合具体情境合理应用。Objective To integrate relevant evidences on postoperative pulmonary infections in patients with aneurysmal subarachnoid haemorrhage so as to provide references for clinical practice.Methods Domestic and international databases were searched,including BMJ Best Practice,UpToDate,Cochrane Library,the U.S.National Guidelines Library,JBI,NICE,Medlive,Embase,CINAHL,Web of Science,PubMed,CNKI,VIP,Wanfang Data,SinoMed and Yiigle for clinical decisions,expert consensus,clinical guidelines,best evidence summaries,systematic evaluations,Meta-analyses,and randomized controlled trials on pulmonary infections in patients with aneurysmal subarachnoid haemorrhage.Literature was screened according to the inclusion criteria.Qualitative assessment was performed,and evidences were extracted.Results A total of 16 articles were included,comprising 2 clinical decisions,7 expert consensus,3 guidelines,3 systematic reviews and 1 RCT.Finally,30 pieces of evidence were obtained in 7 domains:team management,risk assessment,mis-inhalation management,airway management,nutritional support,oral care and rehabilitation.Conclusion The best evidence for the management of postoperative pulmonary infection in patients with aneurysmal subarachnoid haemorrhage summarised in this study can provide references for clinical interventions.Clinical staff should reasonably apply the evidence according to the specific situations.

关 键 词：动脉瘤性蛛网膜下腔出血 肺部感染 风险管理 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]