目的 检索、评价及汇总成人吸入性损伤肺康复相关证据。方法 计算机检索BMJ Best Practice、Up-ToDate临床顾问、JBI图书馆、Cochrane图书馆、国际烧伤协会、欧洲烧伤协会、美国烧伤协会、日本皮肤病学协会、中国知网、万方数据库、中国生物医学数据库等网站中关于成人吸入性损伤相关的临床实践指南、专家共识、证据总结、系统评价及随机对照试验，检索时限为建库至2022年12月31日。进行文献质量评价后，根据主题对证据进行提取与汇总。结果 根据纳入标准筛选出证据16篇，包括临床实践指南7篇、专家共识5篇、系统评价3篇、随机对照试验1篇。通过阅读、提取和归类，总结了对证据进行梳理，最终形成肺康复评估、肺康复模式、肺康复时机、肺康复时长、肺康复地点、肺康复方式、肺康复营养支持及效果评价8个维度，20条证据。结论 本研究基于总结多个国家及地域成人吸入性损伤的肺康复管理证据，供医护人员根据临床实际情况选择证据进行干预。
Summary of the best evidence for pulmonary rehabilitation management in adults with inhalation injury
Objective To retrieve,evaluate,and summarize the evidence relating to pulmonary rehabilitation for inhalation injuries in adults.Methods Computerized searches of BMJ Best Practice,UpToDate Clinical Advisor,JBI Library,Cochrane Library,International Burn Association,European Burn Association,American Burn Associa-tion,Japanese Association of Dermatology,China Knowledge Network,Wanfang Database,China Biomedical Data-base,and other websites for clinical practice guidelines,expert consensus,evidence summaries,systematic evalua-tions,and randomized controlled trials related to inhalation injuries in adults,and the search time was from the es-tablishment of the database to December 31,2022.After performing literature quality assessment,the evidence was extracted and summarized according to themes.Results A total of 16 pieces of evidence were screened according to the inclusion criteria,including 7 clinical practice guidelines,5 expert consensus,3 systematic evaluations,and 1 ran-domized controlled trial.The evidence was summarized by reading,extracting,and categorizing the evidence,resul-ting in 20 pieces of evidences in 8 dimensions of pulmonary rehabilitation assessment,pulmonary rehabilitation mo-dality,timing of pulmonary rehabilitation,duration of pulmonary rehabilitation,location of pulmonary rehabilita-tion,modality of pulmonary rehabilitation,nutritional support for pulmonary rehabilitation and evaluation of out-comes.Conclusion This study is based on summarizing the evidence on pulmonary rehabilitation management of inha-lation injury in adults from multiple countries and geographic regions,which can be used to interfere with the selec-tion of evidence for healthcare professionals according to the clinical actual situation
万方数据
维普
