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慢性阻塞性肺疾病患者围术期评估与干预的最佳证据总结

Summary of the best evidence for perioperative assessment and intervention in patients with chronic obstructive pulmonary disease

    摘要
  • 摘要:
    目的 分析并整合慢性阻塞性肺疾病(COPD)患者围术期评估与干预的最佳证据。
    方法 系统检索国内外指南网、中英文数据库及相关学会网站关于COPD患者围术期管理的指南、临床决策、推荐实践、证据总结、系统评价、专家共识。检索时间为建库至2023年1月31日。
    结果 共纳入文献14篇: 指南5篇，专家共识3篇，临床决策3篇，系统评价3篇。从一般原则、风险因素、护理评估、肺康复护理、气道管理、效果评价及交接管理共7个方面汇总了26条证据。
    结论 本研究总结了COPD患者围术期评估与干预的最佳证据，可为COPD患者围术期管理提供循证依据。

     

    Abstract:
    Objective To analyze and integrate the best evidence of perioperative assessment and management in patients with chronic obstructive pulmonary disease(COPD).
    Methods Guideline websites, Chinese and English databases, related society websites were searched systematically to search and extract for guidelines, clinical decisions, recommended practice, evidence summaries, systematic reviews and expert consensus on perioperative assessment and intervention in patients with COPD. The retrieval time was from the establishment of the database to January 31, 2023.
    Results A total of 14 literatures were included: 5 guidelines, 3 expert consensus, 3 clinical decisions, and 3 systematic reviews. Twenty-six pieces of evidence were collected from seven aspects, including general principles, risk factors, nursing assessment, pulmonary rehabilitation nursing, airway management, effectiveness evaluation and shift management.
    Conclusion This study summarizes the best evidence of perioperative evaluation and intervention in patients with COPD, which can provide evidence-based evidence for perioperative management in patients with COPD.

     

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