孕产妇静脉血栓栓塞症预防与管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2021.06.016

Abstract

Abstract:

Objective To summary the best evidences for prevention and management of venous thromboembolism in pregnant women. Methods We searched the literatures on the prevention and management of maternal venous thromboembolism in the following databases：UpToDate,Cochrane Library,JBI,PubMed,CNKI,Wanfang Database,American College of Obstetricians and Gynecologists,National Institute for Health and Care Excellence,the Royal College of Obstetricians and Gynaecologists,etc. The search time limit was from database inception to December 2019.Two researchers used AGREE Ⅱ and the standards of the Australian JBI Evidence-based Health Care Center to evaluate the quality of the literature and conduct data extraction. Results A total of fourteen references were included,and they were seven clinical practice guidelines,two systematic reviews,three expert consensuses,one evidence summary,and one best practice information sheet. Twenty-five pieces of best evidence were obtained,including risk assessment,prevention measures,management strategy and health education. Conclusion This study summarizes the best evidences for the prevention and management of venous thromboembolism in pregnant women,and provides evidence for clinical managers to ensure maternal safety.

Key words: Pregnant Women, Venous Thromboemlism, Evidence-Based Nursing

GENG Xiao-ting,LI Shu-ying,WANG Chun-hua,LIU Jun-ying,ZHANG Yan-hong,CHEN Ya-jing,WANG Shi-xiang. Evidence summary for prevention and management of venous thromboembolism in pregnant women[J].Chinese Journal of Nursing Education, 2021, 18(6): 556-561.

Figures/Tables 3

References 27

[1]	王琳. Autar和Caprini深静脉血栓形成风险评估表在ICU的应用效果比较[J]. 全科护理, 2019,17(3):267-269.
	Wang L. Comparison of the application of Autar and Caprini deep vein thrombosis risk assessment in ICU[J]. Chin Gen Pract Nurs, 2019,17(3):267-269.
[2]	赵鹏, 蔺莉, 栾景源, 等. 妊娠及产褥期静脉血栓栓塞的危险因素评估及处理策略[J]. 中华围产医学杂志, 2019,22(6):429-431.
	Zhao P, Lin L, Luan JY, et al. Risk factor assessment and management strategies for venous thromboembolism during pregnancy and puerperium[J]. Chin J Perinat Med, 2019,22(6):429-431.
[3]	Mitic G, Kovac M, Jurisic D, et al. Clinical characteristics and type of thrombophilia in women with pregnancy-related venous thromboembolic disease[J]. Gynecol Obstet Invest, 2011,72(2):103-108. doi: 10.1159/000323828
[4]	Barillari G, Londero AP, Brenner B, et al. Recurrence of venous thromboembolism in patients with recent gestational deep vein thrombosis or pulmonary embolism:findings from the RIETE registry[J]. Eur J Intern Med, 2016,32:53-59. doi: 10.1016/j.ejim.2016.02.013
[5]	王燕, 徐红兵. 孕产妇静脉血栓栓塞症的诊治[J]. 现代医药卫生, 2016,32(9):1352-1355.
	Wang Y, Xu HB. Diagnosis and treatment of venous thromboembolism in pregnant women[J]. J Mod Med Heal, 2016,32(9):1352-1355.
[6]	Chen Y, Dai Y, Song J, et al. Establishment of a risk assessment tool for pregnancy-associated venous thromboembolism and its clinical application:protocol for a prospective observational study in Beijing[J]. BMC Pregnancy Childbirth, 2019,19(1):1-8. doi: 10.1186/s12884-018-2145-y
[7]	袁晓兰, 李丽美, 和秀魁, 等. 全面放开“二孩”政策前后广东省妇幼保健院住院孕产妇分娩情况分析[J]. 中国妇幼保健, 2018,33(2):241-243.
	Yuan XL, Li LM, He XK, et al. Analysis on hospital delivery situation before and after implementation of comprehensive two-child policy in Guangdong Provincial Maternal and Child Health Care Hospital[J]. Matern Child Heal Care China, 2018,33(2):241-243.
[8]	胡岳敏, 程芙蓉, 陈裕坤. 二胎高龄生育的风险因素与孕前评估[J]. 中国医药科学, 2017,7(20):247-250.
	Hu YM, Cheng FR, Chen YK. Risk factors for advanced pregnancy with second child and pre pregnancy evaluation[J]. China Med Pharm, 2017,7(20):247-250.
[9]	谢利民, 王文岳. 《临床指南研究与评价系统Ⅱ》简介[J]. 中西医结合学报, 2012,10(2):160-165.
	Xie LM, Wang WY. A brief introduction to Appraisal of Gui-delines for Research and Evaluation Ⅱ[J]. J Chin Integr Med, 2012,10(2):160-165.
[10]	朱丽群, 庄若, 曹松梅, 等. PICC相关性血栓风险评估的最佳证据总结[J]. 中华护理杂志, 2017,52(10):1179-1185.
	Zhu LQ, Zhuang R, Cao SM, et al. Evidence summary for risk assessment of PICC-related thrombosis[J]. Chin J Nurs, 2017,52(10):1179-1185.
[11]	顾莺, 张慧文, 周英凤, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具:系统评价的方法学质量评价[J]. 护士进修杂志, 2018,33(8):701-703.
	Gu Y, Zhang HW, Zhou YF, et al. JBI evidence-based health center’s quality assessment tool for different types of research—the quality evaluation of diagnostic and economic evaluation[J]. J Nurses Train, 2018,33(8):701-703.
[12]	朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(五):证据临床转化研究中的文献质量评价[J]. 护士进修杂志, 2020,35(11):996-1000.
	Zhu Z, Hu Y, Zhou YF, et al. Promotion evidence to clinical transformation:evidence resource retrieval for the purpose of clinical transformation[J]. J Nurses Train, 2020,35(11):996-1000.
[13]	Chan WS, Rey E, Kent NE, et al. Venous thromboembolism and antithrombotic therapy in pregnancy[J]. J Obstet Gynaecol Can, 2014,36(6):527-553. doi: 10.1016/S1701-2163(15)30569-7
[14]	Bates SM, Rajasekhar A, Middeldorp S, et al. American Society of Hematology 2018 guidelines for management of venous thromboem bolism:venous thromboembolism in the context of pregnancy[J]. Blood Adv, 2018,2(22):3317-3359. doi: 10.1182/bloodadvances.2018024802
[15]	Royal College of Obstetricians and Gynaecologists. Thrombo-sis and embolism during pregnancy and the puerperium,redu-cing the risk（Green-top Guideline No. 37a）[EB/OL]. 2015-04-13). https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-37a.pdf.
[16]	Royal College of Obstetricians and Gynaecologists. Thrombosis and Embolism during Pregnancy and the Puerperium：Acute Management（Green-top Guideline No. 37b）[EB/OL]. (2015-04-13). https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-37b.pdf.
[17]	National Institute for Health and Care Excellence. Venous thromboembolism in over 16s：reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism[EB/OL]. (2018-08-13). https://www.nice.org.uk/guidance/ng89.
[18]	The American College of Obstetricians and Gynecologists. ACOG practice bulletin No. 196:thromboembolism in pregnancy[J]. Obstet Gynecol, 2018,132(1):e1-e17. doi: 10.1097/AOG.0000000000002706
[19]	中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第三版)[J]. 中国血管外科杂志(电子版), 2017,9(4):250-257.
	Vascular Surgery Group,Chinese Medical Association Surgery Branch. Guidelines for the diagnosis and treatment of deep vein thrombosis(third edition)[J]. Chin J Vasc Surg(Electronic Version), 2017,9(4):250-257.
[20]	Hassouna A, Allam H. Limited dose warfarin throughout preg-nancy in patients with mechanical heart valve prosjournal:a meta-analysis[J]. Interact Cardio Vasc Thorac Surg, 2014,18(6):797-806. doi: 10.1093/icvts/ivu009
[21]	Costi L, Lockwood C, Munn Z, et al. Women’s experience of diabetes and diabetes management in pregnancy:a systematic review of qualitative literature[J]. JBI Database of Systematic Reviews and Implementation Reports, 2014,12(1):176-280. doi: 10.11124/jbisrir-2014-1304
[22]	中国健康促进基金会血栓与血管专项基金专家委员会. 静脉血栓栓塞症机械预防中国专家共识[J]. 中华医学杂志, 2020,100(7):484-492.
	Expert Committee of China Health Promotion Foundation Thrombus and Vascular Special Fund. Chinese expert consensus on mechanical prevention of venous thromboembolism[J]. Natl Med J China, 2020,100(7):484-492.
[23]	Linnemann B, Scholz U, Rott H, et al. Treatment of pregnancy-associated venous thromboembolism - position paper from the Working Group in Women’s Health of the Society of Thrombosis and Haemostasis(GTH)[J]. VASA.:Zeitschrift für Gefä-sskrankheiten. Journal for vascular diseases. 2016,45(2):103-118.
[24]	McLintock C, Brighton T, Chunilal S, et al. Recommendations for the prevention of pregnancy-associated venous thromboembolism[J]. Aust NZJ Obstet Gynaecol, 2012,52(1):3-13. doi: 10.1111/j.1479-828X.2011.01357.x
[25]	Whitehorn A. Venous thromboembolism：prevention and prophylaxis in medically ill hospitalized patients[EB/OL]. (2019-08-01). http://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi
[26]	Costi L, Munn Z. Women’s experience of diabetes and diabetes management in pregnancy[J]. The Joanna Briggs Institute Database of Best Practice Information Sheets and Technical Reports, 2014,18(7):1-5.
[27]	Bain E, Wilson A, Tooher R, et al. Prophylaxis for venous throm-boembolic disease in pregnancy and the early postnatal period[J]. Cochrane Database Syst Rev, 2014. DOI: 10.1002/1465-1858.cd001689.pub2.

Evidence summary for prevention and management of venous thromboembolism in pregnant women

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 27

Related Articles 15

Metrics

Comments

Recommended 10

[1]	CHEN Xiangjun, HU Fang, TANG Li, TAN Xiaomei. Analysis of reflective practice level and its influencing factors in clinical nurses [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1120-1125.
[2]	ZHANG Fangyuan, JIAO Jie, LIU Lifeng. Evidence summary of preoperative rehabilitation in lung cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(7): 881-886.
[3]	GU Mengqian, HUANG Yidan, HUANG Lanhui, YANG Shiyi, WU Haizhen, ZOU Junjun, YU Jiaxian. Barrier factors analysis of the best practice for the prevention and management of medical adhesive related skin injuries in adult ICU patients [J]. Chinese Journal of Nursing Education, 2024, 21(5): 599-605.
[4]	ZHU Songying, TAN Ran, GAO Wei. The best evidence summary on management of primary malposition in adult patients with peripherally inserted central catheter/arm port [J]. Chinese Journal of Nursing Education, 2024, 21(5): 613-619.
[5]	ZHANG Jie, LI Xiuchuan, LIU Chunfang, TANG Qi, JIANG Jie, HUO Rui, JI Hongmin. Evidence summary for prevention and nursing of mucocutaneous separation in patients with enterostomy [J]. Chinese Journal of Nursing Education, 2024, 21(4): 486-491.
[6]	JIN Ziheng, SONG Jie, ZHANG Shuxiang, JIANG Shumin, YU Wanhui, LI Ruzhao, LIU Yue. Evidence summary for cardiopulmonary resuscitation in the prone position with invasive mechanical ventilation [J]. Chinese Journal of Nursing Education, 2024, 21(3): 358-364.
[7]	LI Mengjie, GOU Xiaoyu, LU Nan, CHI Jiajing, YU Wanhui, YANG Lijuan. Summary of the best evidence for rehabilitative management of postpartum stress urinary incontinence [J]. Chinese Journal of Nursing Education, 2024, 21(2): 224-230.
[8]	DING Lina, YAO Zhuoya, GENG Junhui, ZHAN Meng, LI Manchun, WANG Junfeng. Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology [J]. Chinese Journal of Nursing Education, 2024, 21(1): 110-118.
[9]	PU Congshan, YANG Yiyun, KONG Xiaonan, SHAN Chunjian, XIA Jiaai, ZHANG Xiangdi, ZHU Zhu, LONG Wei, WANG Yiting. Best evidence summary for prevention of preeclampsia [J]. Chinese Journal of Nursing Education, 2024, 21(1): 81-88.
[10]	HU Ying, ZHOU Mingfang, CHEN Shihua, ZHONG Junya, FAN Yao, YU Lili, Shohei Ohgi, GU Shouzhi. Study on the application of "Internet +" Centering Pregnancy health care model in late pregnancy of primiparas [J]. Chinese Journal of Nursing Education, 2023, 20(8): 957-962.
[11]	DENG Chunyan,DU Xingmei,RAN Lingyun,YANG Zhongting,WEN Xuan,DENG Rui,HUANG Yuan. Lay-delivered group psychotherapy to relieve perinatal depressive symptoms in Chinese：a systematic review [J]. Chinese Journal of Nursing Education, 2023, 20(6): 707-715.
[12]	CAI Mingjin,HOU Chaoming,GAO Jing,BAI Dingxi,LIU Ruirui,LU Xianying,WANG Wei,GONG Xiaoyan. Intervention effect of aerobic exercise on knee osteoarthritis patients：a network meta-analysis [J]. Chinese Journal of Nursing Education, 2023, 20(6): 745-751.
[13]	LIANG Yiqing, XU Huiling, CAO Songmei, WANG Jingjing, FAN Yimeng, CAI Peixuan. Development of evidence-based popular works of oral health management for older adults in the community [J]. Chinese Journal of Nursing Education, 2023, 20(5): 568-574.
[14]	ZHANG Xiaona, YUAN Ping, LU Hongyan, ZHAO Jie, FENG Xiangkan, LI Xindan, YU Fang. Summary of the best evidence on discharge preparation service for patients with chronic obstructive pulmonary disease [J]. Chinese Journal of Nursing Education, 2023, 20(5): 580-588.
[15]	LU Xianying, HOU Zhaoming, GAO Jing, BAI Dingxi, LIU Ruirui, CHEN Tingting. The effect of non-pharmacological interventions on fatigue of patients with maintenance hemodialysis：a network meta-analysis [J]. Chinese Journal of Nursing Education, 2023, 20(4): 467-473.