主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (5): 750-754.doi: 10.3969/j.issn.1672-1756.2022.05.022

• 循证护理 • 上一篇    下一篇

危重症患者腹内压监测的最佳证据总结

李志茹 王华芬 卢芳燕   

  1. 浙江大学医学院护理系,310029 杭州市(李志茹);浙江大学医学院附属第一医院护理部(王华芬);肝胆胰外科(卢芳燕)
  • 出版日期:2022-05-15 发布日期:2022-05-15
  • 通讯作者: 王华芬,硕士,主任护师,护理部主任,E-mail:2185051@zju.edu.cn
  • 作者简介:李志茹,硕士在读

Summary of the best evidence for monitoring Intra-Abdominal Pressure in critically ill patients

LI Zhiru, WANG Huafen, LU Fangyan   

  1. Department of Nursing, Medical College, Zhejiang University, Hangzhou, 310029, China
  • Online:2022-05-15 Published:2022-05-15
  • Contact: E-mail:2185051@zju.edu.cn

摘要: 目的:检索、评价并总结危重症患者腹内压监测的最佳证据。方法:计算机检索危重症患者腹内压监测相关证据,对纳入的文献进行质量评价,对符合质量标准的文献进行证据提取和汇总。结果:共纳入10篇文献,其中指南3篇、专家共识1篇、队列研究5篇、推荐实践1篇,从政策管理、方法选择、体位与参照零点、灌注液体积及温度、排除干扰因素、加强教育培训6个方面总结出30条最佳证据。结论:所总结的关于危重症患者腹内压监测的最佳证据可用于临床实践,促进危重症患者腹内压监测的规范化管理。

关键词: 腹内压;监测;腹内高压;腹腔间隔室综合征;危重症患者;循证护理;证据总结

Abstract: Objective: To search, evaluate and summarize the best evidence for monitoring Intra-Abdominal Pressure in critically ill patients. Methods: The relevant evidence of Intra-Abdominal Pressure monitoring in critically ill patients was searched. The quality of the included articles was evaluated and those that met the quality standards was included and summarized. Results: A total of 10 articles were selected, including 3 guidelines, 1 expert consensus, 5 cohort studies, and 1 recommended practice. Totally 30 pieces of evidence on 6 aspects including policy management, method selection, body position and reference zero point, volume and temperature of perfusion fluid, eliminating interference factors, and education and training were finally summarized. Conclusion: The summarized evidence for can be used in clinical practice to promote standardized management of Intra-Abdominal Pressure monitoring in critically ill patients.

Key words: Intra-Abdominal Pressure; monitoring; Intra-Abdominal Hypertension; Abdominal Compartment Syndrom; critically ill patients; evidence-based nursing; evidence summary

中图分类号:  R47;R197