首页|维持性血液透析患者AVF建立围手术期最佳证据总结

维持性血液透析患者AVF建立围手术期最佳证据总结

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目的 检索、评价并整合维持性血液透析患者自体动静脉内瘘围手术期的最佳证据,为完善促进维持性血液透析患者动静脉内瘘管理提供参考.方法 系统检索循证资源及文献数据库、专业协会网站中有关维持性血液透析患者自体动静内瘘围手术期相关管理的证据,包括临床决策、指南、证据总结、最佳临床实践、推荐实践、专家共识及系统评价.结果 共纳入文献 13 篇,包括临床决策 1 篇、指南 4篇、专家共识 2 篇、系统评价 6 篇.从术前评估、术后监测、药物治疗、功能锻炼、辅助成熟措施等 5 个方面汇总了 19 条证据.结论 医护人员可根据患者临床情况,选择性应用证据,为患者制定个性化诊疗方案,促进患者自体动静脉成熟,减少并发症的发生.
Best perioperative evidence summary for establishment of AVF in maintenance hemodialysis patients
Objective To search,evaluate,and integrate the best perioperative evidence of autogenous arteriovenous fistula(AVF)in maintenance hemodialysis patients,and to provide reference for improving the management of AVF in maintenance hemodialysis patients.Methods The evidence about perioperative management of AVF in maintenance hemodialysis patients was systematically retrieved from evidence-based resources,literature databases,and professional association websites,including clinical decision-making,guidelines,summary of evidence,best clinical practice,recommended practice,expert consensus,and systematic review.Results A total of 13 articles were included,comprising 1 clinical decision-making,4 guidelines,2 expert consensuses,and 6 systematic reviews.Nineteen pieces of evidence were collected from five aspects:preoperative evaluation,postoperative monitoring,drug therapy,functional exercise,and assisted maturation measures.Conclusions Doctors and nurses can make individualized diagnosis and treatment plans for patients according to their clinical conditions and selectively apply evidence,so as to promote the maturity of their own arteries and veins and reduce the occurrence of complications.

Autologous arteriovenous fistulaMaintenance hemodialysisPerioperative periodEvidence-based nursing

王芬、商正影

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519100 广东珠海,遵义医科大学第五附属(珠海)医院 肾内科

自体动静脉内瘘 维持性血液透析 围手术期 循证护理

2025

齐齐哈尔医学院学报
齐齐哈尔医学院

齐齐哈尔医学院学报

影响因子:0.854
ISSN:1002-1256
年,卷(期):2025.46(2)