间歇充气加压装置预防围术期深静脉血栓形成的最佳证据总结

doi:10.16460/j.issn1008-9969.2023.16.051

摘要/Abstract

摘要： 目的检索并整合间歇充气加压装置预防围术期深静脉血栓形成的相关证据,为临床实践提供参考。方法根据“6S”证据模型,系统检索国内外中英文数据库及指南网站,检索时限为建库至2022年11月16日。由2名研究者独立对符合纳入标准的文献进行质量评价、证据提取和整合。结果共纳入22篇文献,包括临床决策2篇、指南6篇、证据总结3篇、专家共识6篇和系统评价5篇。从风险评估与筛查、应用时机、设备选择与维护、实施策略、教育与培训5个方面汇总了23条最佳证据。结论总结了间歇充气加压装置预防围术期深静脉血栓形成的最佳证据,可为临床实践提供参考,医护人员应结合患者个体因素和临床实际情境,审慎选择和应用证据。

关键词: 间歇充气加压装置, 围术期, 深静脉血栓形成, 证据总结

Abstract: Objective To retrieve and integrate the evidence of intermittent pneumatic compression device in the prevention of perioperative deep venous thrombosis and to provide reference for clinical practice. Methods According to the "6S" evidence model, the databases and guideline websites were systematically searched, then the quality of the eligible literature was evaluated by two researchers independently. The retrieval period was from the inception of the databases to November 16 2022. Results Twenty-two articles were collected, including 2 clinical decisions, 6 guidelines, 3 evidence summaries, 6 expert consensus and 5 systematic reviews. Twenty-three pieces of best evidence were summarized from 5 aspects of risk assessment and screening, timing of application, equipment selection and maintenance, implementation strategy, and education and training. Conclusion This study summarizes the best evidence of intermittent pneumatic compression device in the prevention of perioperative deep venous thrombosis, which provides reference for clinical practice. Medical staff should carefully select and apply evidence based on individual factors of the patients and clinical situations.

Key words: intermittent pneumatic compression device, perioperative period, deep venous thrombosis, evidence summary

中图分类号:

R473.6

龚雪, 宋慧娟, 廖少娜, 杨晨, 黄文嫣. 间歇充气加压装置预防围术期深静脉血栓形成的最佳证据总结[J]. 护理学报, 2023, 30(16): 51-56.

GONG Xue, SONG Hui-juan, LIAO Shao-na, YANG Chen, HUANG Wen-yan. Best evidence summary for intermittent pneumatic compression device in prevention of perioperative deep venous thrombosis[J]. Journal of Nursing, 2023, 30(16): 51-56.

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