脑血管疾病复合手术围手术期护理专家共识

doi:10.3761/j.issn.0254-1769.2026.10.007

摘要/Abstract

摘要：

目的制订脑血管疾病复合手术围手术期护理专家共识（以下简称“共识”），为临床护理实践提供规范指引。方法系统检索国内外指南网、数据库中关于脑血管疾病复合手术围手术期的相关研究，检索时限为建库至2025年5月。通过文献检索、质量评价、证据提取和证据综合对证据内容进行汇总，形成“共识”初稿。2025年8—11月，经过2轮专家函询，对相应条目进行调整、修改后形成“共识”终稿。结果 2轮函询专家积极系数均为100%，权威系数为0.91；肯德尔和谐系数分别为0.099、0.082（P<0.05）。该“共识”包括术前评估与准备、术中配合与监测、术后护理管理与并发症防治、出院健康指导与随访管理4个部分。结论该“共识”的构建过程具有较高的科学性、规范性及实用性，可为规范开展脑血管疾病复合手术围手术期的护理及管理工作提供参考。

关键词: 脑血管疾病, 复合手术, 围手术期护理, 专家共识

Abstract:

Objective To develop an expert consensus on perioperative nursing for hybrid operation of cerebrovascular diseases（herein referred to as “consensus”） in order to promote the standardization of integrated nursing and improve patient clinical outcomes.Methods Systematic retrieval of related studies on perioperative nursing for hybrid operation of cerebrovascular diseases from guideline networks and databases was conducted，with a search period from the establishment of the database to May 2025. Evidence content was summarized through literature retrieval，quality evaluation，evidence extraction，and evidence synthesis to form the initial draft of the consensus. From August to November 2025，after 2 rounds of expert consultations，the consensus was revised and finalized.Results The positive coefficient of experts was 100%；the authority coefficient was 0.91. The Kendall’s W coefficients of the 2 rounds of expert opinions were 0.099 and 0.082（P<0.05）. The consensus includes 4 parts，namely preoperative assessment and preparation，intraoperative cooperation and monitoring，postoperative nursing management and complication prevention，and discharge health guidance and follow-up management.Conclusion The consensus was conducted in a scientific，standardized，and practical way，and can provide a reference for the standardization of perioperative nursing and management for hybrid operation of cerebrovascular diseases.

Key words: Cerebrovascular Diseases, Hybrid Operation, Perioperative Nursing, Expert Consensus

中华医学会神经外科学分会（执笔：仲丽芸, 李京连, 赵东红, 陈璐, 袁巧玲, 胡秀兰, 任亚娟, ）. 脑血管疾病复合手术围手术期护理专家共识[J]. 中华护理杂志, 2026, 61(10): 1347-1353.

Chinese Neurosurgical Society（Writing Committee：ZHONG Liyun, LI Jinglian, ZHAO Donghong, CHEN Lu, YUAN Qiaoling, HU Xiulan, REN Yajuan, ）. Expert consensus on perioperative nursing for hybrid operation of cerebrovascular disease[J]. Chinese Journal of Nursing, 2026, 61(10): 1347-1353.

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