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 ›› 2025, Vol. 25 ›› Issue (6): 907-912.doi: 10.3969/j.issn.1672-1756.2025.06.020

• 循证护理 • 上一篇    下一篇

大疱性表皮松解症新生儿皮肤和创面管理的证据总结

张丹 叶娟 吴俐亚 张梦瑜   

  1. 浙江大学医学院附属第一医院护理部/儿科,311121 杭州市
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 叶娟,本科,副主任护师,护士长,E-mail:760591142@qq.com
  • 作者简介:张丹,本科,主管护师

Evidence summary for skin and wound management for neonates with Epidermolysis Bullosa

ZHANG Dan, YE Juan, WU Liya, ZHANG Mengyu   

  1. Pediatrics Department, Nuring Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 311121, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:760591142@qq.com

摘要: 目的:检索、评价并汇总大疱性表皮松解症新生儿皮肤和创面管理的证据,为临床实践提供参考。方法:根据“6S”证据资源金字塔模型,在相关网站及中、英文数据库中系统检索国内外关于大疱性表皮松解症新生儿皮肤和创面管理的临床决策、最佳实践、指南、证据总结、专家共识、专家意见、系统评价及随机对照试验。检索时限为2014年1月1日至2024年9月30日。对纳入的文献进行质量评价,对文献进行证据提取并汇总。结果:共纳入9篇文献,其中临床决策2篇、指南1篇、专家共识5篇、最佳实践1篇。最终形成大疱性表皮松解症新生儿皮肤和创面管理的证据总结,包括皮肤管理、创面管理、疼痛管理3个类别,共31条证据。结论:形成的大疱性表皮松解症新生儿皮肤和创面管理的证据,可以为医务人员临床实践提供循证依据。

关键词: 新生儿;大疱性表皮松解症;皮肤管理;创面管理;循证护理学

Abstract: Objective: To retrieve, evaluate, and summarize the evidence on skin and wound management in neonates with Epidermolysis Bullosa (EB) to provide a reference for clinical practice. Methods: According to the "6S" evidence resource pyramid model, clinical decisions, best practices, guidelines, evidence summaries, expert consensus, expert opinions, systematic reviews, and randomized controlled trials on skin and wound management of neonates with EB were systematically searched in relevant websites as well as Chinese and English databases from January 1, 2014 to September 30, 2024. The quality of the included papers was evaluated and the evidence was extracted and summarized. Results: A total of 9 articles were finally included, among which there were 2 clinical decisions, 1 guideline, 5 expert consensus and 1 best practice. Finally 31 pieces of evidence for skin and wound management in neonates with EB were formed from 3 aspects, including skin management, wound management, and pain management. Conclusion: The evidence of skin and wound management in neonates with EB can provide an evidence-based basis for the clinical practice of medical staff.

Key words: neonates; Epidermolysis Bullosa; skin management; wound management; evidence-based nursing

中图分类号:  R47;R197