目的 汇总脊髓损伤(spinal cord injury，SCI)患者下肢深静脉血栓(deep vein thrombosis，DVT)预防的最佳证据，为医护人员制订基于循证的SCI患者下肢DVT预防管理措施提供依据。方法 系统检索UpToDate、BMJ Best Practice、国际指南协作网、英国国家卫生与临床优化研究所指南网、加拿大安大略注册护士协会网站、美国国立指南库、苏格兰校际指南网、新西兰临床指南网站、JBI循证卫生保健中心数据库、PubMed、Web of Science、Embase、Cochrane Library、CINAHL、医脉通、中国指南网、中国生物医学文献数据库、中国知网、万方数据库，收集SCI患者下肢DVT预防的相关证据，检索时间为2019年1月1日-2024年6月30日，对文献进行筛选、质量评价、证据提取与汇总。结果 纳入22篇文献，包含指南3篇、临床决策2篇、最佳实践4篇、证据总结7篇、专家共识4篇、系统评价2篇。最终形成风险评估、诊断筛查、预防原则、药物预防、机械预防和健康教育6个方面共32条证据。结论 SCI患者下肢DVT预防涉及较多方面证据，在临床实施过程中，医护人员可根据患者的临床状况审慎地选择预防方案，以降低SCI患者住院期间DVT的发生率。
Summary of best evidence for prevention of deep vein thrombosis in lower limbs of patients with spinal cord injury
Objective To summarize the best evidence for prevention of deep vein thrombosis(DVT)in lower limbs of patients with spinal cord injury(SCI),and provide a basis for medical staff to develop evidence-based prevention and management measures for DVT in the lower limbs of patients with SCI.Methods UpToDate,BMJ Best Practice,Guidelines International Network,National Institute for Health and Clinical Excellence,Registered Nurses'Association of Ontario,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,JBI evidence-based healthcare center database,Web of Science,Embase,Cochrane Library,CINAHL,Medlive,China guidelines network,SinoMed,China National Knowledge Infrastructure,and Wanfang were systematically searched.Evidence related to the prevention of DVT in lower limbs of patients with SCI has been collected.The search period was from January 1,2019 to June 30,2024,and the literature was screened,quality evaluated,evidence extracted,and summarized.Results Finally,22 articles were included,including 3 guidelines,2 clinical decision-making articles,4 best practices articles,7 evidence summaries,4 expert consensus articles,and 2 systematic reviews.A total of 32 pieces of evidence were ultimately formed in six aspects of risk assessment,diagnosis and screening,prevention principle,drug prevention,mechanical prevention,and health education.Conclusions There is a lot of evidence involved in the prevention of DVT in lower limbs of patients with SCI.In the clinical implementation process,medical staff can carefully choose prevention plans based on the patients'clinical condition to reduce the incidence of DVT in patients with SCI during hospitalization.
万方数据
维普
