儿童气道狭窄球囊扩张术围手术期护理专家共识

doi:10.3761/j.issn.0254-1769.2026.12.006

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (12): 1628-1636.DOI: 10.3761/j.issn.0254-1769.2026.12.006

儿童气道狭窄球囊扩张术围手术期护理专家共识

中华护理学会呼吸护理专业委员会, 国家儿童医学中心儿科护理联盟小儿呼吸（哮喘）学组, 湖南省护理学会儿科专业委员会（执笔：刘花艳¹^,^*(), 曾珊¹, 成守珍², 梁湘³, 安照辉¹, 谢鑑辉⁴, 刘玉琳⁵, 宋楠⁶, 李德丽⁷, 周金艳⁸, 胡艳军⁹, ）

¹ 中南大学湘雅医学院附属儿童医院/湖南省儿童医院呼吸内科长沙市 410007
² 中山大学附属第一医院护理部广州市 510000
³ 湖南中医药大学护理学院长沙市 410208
⁴ 中南大学湘雅医学院附属儿童医院/湖南省儿童医院护理部长沙市 410007
⁵ 重庆医科大学附属儿童医院呼吸科重庆市 400014
⁶ 国家儿童医学中心/首都医科大学附属北京儿童医院护理部北京市 100045
⁷ 吉林大学第一医院儿童医院小儿呼吸科长春市 130000
⁸ 湖南省人民医院/湖南师范大学附属第一医院门诊部长沙市 410005
⁹ 湖南省人民医院/湖南师范大学附属第一医院呼吸内科长沙市 410005

收稿日期:2025-07-10 出版日期:2026-06-20 发布日期:2026-06-12
*通讯作者: 刘花艳，女，硕士，副主任护师，科护士长，E-mail：19938500@qq.com
作者简介:第一联系人：作者贡献声明
刘花艳、曾珊：研究设计、研究实施、论文撰写；成守珍、刘玉琳：研究指导、论文审阅及修改；梁湘、胡艳军：研究实施、文献质量评价、数据分析；安照辉、宋楠、李德丽：研究设计、论文审阅及修改；谢鑑辉：行政支持、指导研究、质量控制；周金艳：技术和材料支持、研究指导、论文审阅
基金资助:
湖南省卫生健康委国家临床重点专科重大科研专项项目(20230014)

Expert consensus on perioperative nursing care for balloon dilation in children with airway stenosis

Respiratory Nursing Committee of Chinese Nursing Association , Pediatric Respiratory（Asthma）Group，Pediatric Nursing Alliance, Children's National Medical Center , Pediatric Committee of Hunan Nursing Association（Writing Committee: LIU Huayan¹^,^*(), ZENG Shan¹, CHENG Shouzhen², LIANG Xiang³, AN Zhaohui¹, XIE Jianhui⁴, LIU Yulin⁵, SONG Nan⁶, LI Deli⁷, ZHOU Jinyan⁸, HU Yanjun⁹, ）

¹ Department of Respiratory Medicine， the Affiliated Children’s Hospital of Xiangya School of Medicine，Central South University/Hunan Children’s Hospital， Changsha 410007， China
² Department of Nursing， the First Affiliated Hospital of Sun Yat-sen University， Guangzhou 510000， China
³ School of Nursing， Hunan University of Chinese Medicine， Changsha 410208， China
⁴ Department of Nursing， the Affiliated Children’s Hospital of Xiangya School of Medicine，Central South University/Hunan Children’s Hospital， Changsha 410007， China
⁵ Department of Respiratory Medicine， Children’s Hospital of Chongqing Medical University， Chongqing 400014， China
⁶ Department of Nursing， Beijing Children’s Hospital，Capital Medical University，National Center for Children’s Health， Beijing 100045， China
⁷ Department of Respiratory， Children，Medical Center，the First Hospital of Jilin University， Changchun 130000， China
⁸ Department of Outpatient， Hunan Provincial People’s Hospital/the First Affiliated Hospital of Hunan Normal University， Changsha 410005， China
⁹ Department of Respiratory Medicine， Hunan Provincial People’s Hospital/the First Affiliated Hospital of Hunan Normal University， Changsha 410005， China

Received:2025-07-10 Online:2026-06-20 Published:2026-06-12
* Corresponding author: LIU Huayan，E-mail：19938500@qq.com
Funding program:
Hunan Provincial Health Commission National Clinical Key Specialties Major Research Program(20230014)

1. “儿童气道狭窄球囊扩张术围手术期护理专家共识”全文.pdf(1535KB)

摘要/Abstract

摘要：

目的制订儿童气道狭窄球囊扩张术围手术期护理专家共识（以下简称“共识”），以期规范围手术期护理流程，降低并发症发生率，改善患儿预后。方法以循证方法为指导，通过文献筛选、质量评价、证据提取和综合形成“共识”初稿。于2025年4—5月进行2轮德尔菲专家函询，2025年6月进行1轮专家论证会议，对相应条目进行修改后形成“共识”终稿。结果共55名专家参与函询，2轮专家函询的专家权威系数为0.902，肯德尔和谐系数分别为0.112和0.246（均P<0.001）。最终形成的“共识”包括适应证及禁忌证、术前护理、术中护理、术后护理及健康教育5个方面内容。结论 “共识”内容科学、规范、可操作性强，可为规范开展儿童气道狭窄球囊扩张术围手术期护理提供参考。

关键词: 气道狭窄, 球囊扩张术, 围手术期护理, 儿童, 专家共识

Abstract:

Objective To develop an expert consensus on perioperative nursing for children with airway stenosis balloon dilation（hereinafter referred to as “consensus”），aiming to standardize the perioperative nursing process，reduce the incidence of complications，and improve the prognosis of children. Methods Guided by evidence-based methods，the initial draft of the “consensus” was formed through literature screening，quality evaluation，evidence extraction and synthesis. Totally 2 rounds of Delphi expert consultation were conducted from April to May 2025，and a round of expert argumentation meeting was held in June 2025 to form the final version of the “consensus”. Results A total of 55 experts participated in the consultation. The expert authority coefficients of the 2 rounds of expert consultation was 0.902，and the Kendall’s coefficient of concordance was 0.112 and 0.246，respectively（P<0.001）. The final consensus encompasses included 5 aspects：indications and contraindications，preoperative nursing，intraoperative nursing，postoperative nursing and health education. Conclusion The content of the “consensus” is scientific，standardized and highly operational，which can provide a reference for the standardized implementation of perioperative nursing care for children with airway stenosis balloon dilation.

Key words: Airway Stenosis, Balloon Dilation, Perioperative Care, Children, Expert Consensus

中华护理学会呼吸护理专业委员会, 国家儿童医学中心儿科护理联盟小儿呼吸（哮喘）学组, 湖南省护理学会儿科专业委员会（执笔：刘花艳, 曾珊, 成守珍, 梁湘, 安照辉, 谢鑑辉, 刘玉琳, 宋楠, 李德丽, 周金艳, 胡艳军, ）. 儿童气道狭窄球囊扩张术围手术期护理专家共识[J]. 中华护理杂志, 2026, 61(12): 1628-1636.

Respiratory Nursing Committee of Chinese Nursing Association , Pediatric Respiratory（Asthma）Group，Pediatric Nursing Alliance, Children's National Medical Center , Pediatric Committee of Hunan Nursing Association（Writing Committee: LIU Huayan, ZENG Shan, CHENG Shouzhen, LIANG Xiang, AN Zhaohui, XIE Jianhui, LIU Yulin, SONG Nan, LI Deli, ZHOU Jinyan, HU Yanjun, ）. Expert consensus on perioperative nursing care for balloon dilation in children with airway stenosis[J]. Chinese Journal of Nursing, 2026, 61(12): 1628-1636.

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儿童气道狭窄球囊扩张术围手术期护理专家共识

Expert consensus on perioperative nursing care for balloon dilation in children with airway stenosis

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