实用临床医药杂志2024,Vol.28Issue(10) :63-67,72.DOI:10.7619/jcmp.20233530

预防肾造瘘管留置患者尿源性脓毒血症的证据总结

Summary of evidence for prevention of urinary sepsis in patients with nephrostomy tubes

邱小英 全宏梅
实用临床医药杂志2024,Vol.28Issue(10) :63-67,72.DOI:10.7619/jcmp.20233530

预防肾造瘘管留置患者尿源性脓毒血症的证据总结

Summary of evidence for prevention of urinary sepsis in patients with nephrostomy tubes

邱小英 1全宏梅1
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作者信息

  • 1. 湖南省人民医院/湖南师范大学附属第一医院肿瘤二科,湖南长沙,410005
  • 折叠

摘要

目的 检索、评价和整合预防肾造瘘管留置患者尿源性脓毒血症的证据.方法 按照"6S"证据金字塔模型检索相关文献,检索时间为建库至2023年8月.由2名小组成员独立对各类文献进行质量评价.对符合标准的文献进行资料提取,并对各项证据进行分级.结果 最终纳入文献11篇,包括证据总结1篇、指南4篇、系统评价2篇、专家共识4篇,共总结了 18条预防肾造瘘管留置患者尿源性脓毒血症的证据,包括留置时机评估、肾造瘘管选择、留置时间、并发症预防及护理和拔管时机共5个主题.结论 本研究总结了预防肾造瘘管留置患者尿源性脓毒血症的证据,可为临床医护人员提供相关护理循证依据,并为科学护理肾造瘘管提供参考.

Abstract

Objective To retrieve,evaluate and integrate evidences for the prevention of urinary sepsis in patients with nephrostomy tube indwelling.Methods Relevant literatures were searched according to the"6S"evidence-based pyramid model,and the retrieval time was from the establish-ment of the database to August 2023.Two team members independently evaluated the quality of vari-ous literatures.The data extraction was performed for the literatures meeting the criteria,and the evi-dences were graded.Results A total of 11 articles were finally included,including 1 evidence sum-mary,4 guidelines,2 systematic reviews,and 4 expert consensuses.Eighteen evidences for the pre-vention of urosepsis in patients with nephrostomy tubes were summarized,including five topics:evalu-ation of indwelling time,selection of nephrostomy tubes,indwelling duration,prevention and nursing of complications and extubation timing.Conclusion This study summarizes evidences for the pre-vention of urosepsis in patients with nephrostomy tubes,which can provide clinicians with evidence-based nursing basis and reference for scientific nursing of nephrostomy tubes.

关键词

经皮肾镜碎石术/肾造瘘管/尿源性脓毒血症/经皮肾造瘘/证据总结

Key words

percutaneous nephrolithotomy/nephrostomy tube/urogenic sepsis/percutaneous nephrostomy/evidence summary

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基金项目

湖南省卫生健康委一般资助课题(202114012086)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量14
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