首页|神经外科手术患者静脉血栓栓塞症预防的证据分析

神经外科手术患者静脉血栓栓塞症预防的证据分析

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目的 评价神经外科手术患者静脉血栓栓塞症(VTE)预防的相关证据,为VTE预防提供理论依据。方法 检索美国国立指南库(NGC)、苏格兰院际指南网(SIGN)、英国指南库、加拿大医学会临床实践指南库(CMA)、国际指南协作网(GIN)、英国国家卫生与临床优化研究所(NICE)、加拿大安大略注册护士协会(RNAO)、Cochrane Library、PubMed、CINAHL、Embase、丁香园、医脉通、知网、万方数据库,指南、专家共识、证据总结、最佳临床实践、系统评价,检索时间为建库至2022年7月。纳入文献通过相应的质量评价工具进行评价,同时进行证据提取。结果 最终纳入文献21篇,包括9篇临床指南、8篇专家共识和4篇证据总结。从VTE评估、B超检查、机械预防、药物预防、基础预防、术中预防、脑出血患者、脊髓损伤、脑肿瘤等14个方面进行证据总结,形成70条最佳证据。结论 医护人员需提高神经外科手术患者VTE的预防意识,在科学的证据指导下,形成科室VTE预防管理规范,使神经外科手术患者VTE发生率减低。
Objective To evaluate the relevant evidence of venous thromboembolism(VTE)prevention in neurosurgery patients,and to provide the theory and basis for VTE prophylaxis.Methods We retrieved the National Guidelines Library(NGC),Scottish Interhospital Guidelines Network(SIGN),UK Guidelines Library,Canadian Medical Association Clinical Practice Guidelines Library(CMA),International Guidelines Collaboration Network(GIN),National Institute of Health and Clinical Optimization(NICE),Ontario Registered Nurses Association(RNAO),Cochrane Library,PubMed,CINAHL,Embase,Dingxiangyuan,Yimaitong,CNKI,Wanfang Database,guidelines Expert consensus,evidence summary,best practices,and system evaluation.The retrieval time for all databases was from the establishment of the database to July 2022.Corresponding quality evaluation tools was used to evaluate the included literature and extract evidence.Results 21 articles were included,including 9 clinical guidelines,8 expert consensus papers,and 4 evidence summaries.The evidence was summarized from 14 aspects,including VTE evaluation,B-ultrasound examination,mechanical prevention,drug prevention,basic prevention,intraoperative prevention,cerebral hemorrhage patients,spinal cord injury,brain tumor,and 70 best evidences were formed.Conclusion Medical staff need to improve their awareness of VTE prevention for neurosurgery patients.The prevention and management standards have been established to reduce the incidence of VTE in neurosurgical patients.

NeurosurgeryVenous thrombosisPrevent

曹茜、韩咏琪、胡清文、徐小群、许多

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325000 温州医科大学附属第一医院

神经外科 静脉血栓 预防

温州市基础性科研项目

Y20220100

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(4)
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