中华护理杂志 ›› 2022, Vol. 57 ›› Issue (14): 1749-1755.DOI: 10.3761/j.issn.0254-1769.2022.14.013
收稿日期:
2021-08-21
出版日期:
2022-07-20
发布日期:
2022-07-20
作者简介:
庄珊珊:女,本科,护师,E-mail: 863457642@qq.com
ZHUANG Shanshan(), ZHANG Zhuanyun, FU Shuang, WANG Jiang
Received:
2021-08-21
Online:
2022-07-20
Published:
2022-07-20
摘要:
目的 检索、评价并整合择期全麻患者术前禁食禁饮管理的最佳证据。 方法 检索PubMed、Cochrane Library、BMJ Best Practice、Geenmedical、美国国立指南库(National Guideline Clearinghouse,NGC)、国际指南协作网(Guidelines International Network,GIN)、加拿大医学会临床实践指南文库、英国国家卫生与临床优化研究所(National Institute for Health and Care Excellence,NICE)、UpToDate、中国生物医学文献数据库、中国知网、万方数据库、临床指南库以及美国麻醉医师协会、中华医学会麻醉学分会、欧洲麻醉学会、促进术后恢复学会(the Enhanced Recovery After Surgery Society,ERAS)中有关择期全麻患者术前禁食禁饮的所有证据,检索时限为建库至2021年6月。由2名研究者对纳入的文献进行质量评价,并对证据进行提取、整合。 结果 该研究共纳入20篇文献,其中,指南10篇,证据总结1篇,系统评价4篇,横断面研究1篇,专家共识2篇,随机对照试验2篇,汇总了涉及胃排空机制、风险评估、禁食禁饮方案、教育培训4个类别的17条证据。 结论 该研究总结了择期全麻患者术前禁食禁饮管理的最佳证据,建议医护人员在了解胃排空机制的前提下,术前对患者进行全面的评估,多学科合作制订术前禁食禁饮方案,以提高医疗护理质量。
庄珊珊, 张转运, 傅双, 王江. 择期全麻患者术前禁食禁饮管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(14): 1749-1755.
ZHUANG Shanshan, ZHANG Zhuanyun, FU Shuang, WANG Jiang. Best evidence summary of preoperative fasting management in patients undergoing elective general anesthesia[J]. Chinese Journal of Nursing, 2022, 57(14): 1749-1755.
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