新生儿重症监护室脐动脉和脐静脉导管管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2023.02.017

摘要/Abstract

摘要： 目的检索国内外新生儿脐动脉和脐静脉导管管理的相关证据，并对最佳实践证据进行评价和总结。方法按照6S模型，系统检索知网、万方、PubMed、Cochrane Library、UpToDate、美国国立指南文库等国内外相关数据库关于新生儿重症监护室脐动脉和脐静脉导管管理的所有证据，检索时限为建库至2021年11月1日。由2名研究者对纳入的文献进行质量评价，并对符合质量标准的文献进行证据提取。结果共纳入12 篇文献，其中指南5篇，系统评价5篇，临床决策2篇，从脐动脉和脐静脉置管相关技术、导管装置管理、导管拔除时机及并发症的预防4个方面汇总了18条证据。结论本研究可为新生儿重症监护室临床医护人员提供新生儿脐动脉和脐静脉导管管理的循证证据，促进新生儿重症监护室脐动脉和脐静脉导管的规范管理，降低相关并发症的发生率。

关键词: 重症监护病房, 新生儿, 脐动脉, 脐静脉, 循证护理学, 最佳证据

Abstract:

Objective To retrieve the evidence for the management of neonatal umbilical catheterization，and to evaluate and summarize the best evidence. Methods According to“6S model”，we systema-tically searched the CNKI，Wanfang，PubMed，Cochrane Library，UpToDate，National Guideline Clearinghouse and other websites regarding all the evidence on the management of neonatal umbilical catheterization in neonatal intensive care unit（NICU）. The search time limit was from the inception of the databases till November 1，2021. Two researchers evaluated the quality of the included literature，and extracted evidence from the literature that met the quality standards. Results We searched 12 articles，including 5 guidelines，5 systematic reviews and 2 clinical decisions. Eighteen best evidences were collected from 4 aspects，including relevant technology of umbilical catheterization，catheter device management，catheter removal timing，and prevention of complications. Conclusion This study provides clinical medical staff with evidence-based evidence for the operation and management of umbilical catheterization and promotes the management of the catheterization site. Incidence of catheter-related complications will be reduced accordingly.

Key words: Intensive Care Units, Neonatal, Umbilical Arteries, Umbilical Veins, Evidence-Based Nursing, Best evidence

李小文, 胡艳玲, 万兴丽, 史泽瑶. 新生儿重症监护室脐动脉和脐静脉导管管理的最佳证据总结[J]. 中华护理教育, 2023, 20(2): 223-228.

LI Xiaowen, HU Yanling, WAN Xingli, SHI Zeyao. Evidence summary on management of neonatal umbilical catheterization in the neonatal intensive care unit[J]. Chinese Journal of Nursing Education, 2023, 20(2): 223-228.

图/表 3

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