腰椎手术病人胃肠道管理的最佳证据总结

Summary of the best evidence of gastrointestinal management in patients undergoing lumbar surgery

目的:遴选并获取腰椎手术病人胃肠道管理的相关证据,并对最佳证据进行总结。方法:计算机检索英国国家卫生医疗质量标准署(NICE)、美国国家临床指南中心(NGC)、澳大利亚JBI循证卫生保健中心数据库(JBI)、the Cochrane Library、PubMed、EMbase、Up To Date、Web of Science、万方数据库、维普数据库、中国知网、中国生物医学文献数据库等数据库中有关腰椎手术病人胃肠道管理的证据,包括指南、专家共识、证据总结、系统评价及随机对照试验,检索时限为建库至2020年12月31日。结果:共纳入7篇文献,其中1篇指南,2篇专家共识,3篇系统评价和1篇RCT。总结归纳出2个维度共8条证据,包括风险筛查评估和干预措施。结论:临床医护人员对腰椎手术病人应选择合适的胃肠道管理措施,应用证据时要根据所在医疗机构的临床环境、病人个体差异情况,与病人及家属充分沟通后有针对性地选择证据,最终达到预防或缓解腰椎手术病人术后胃肠道不适症状发生的目的。

Objective:To Select and obtain the relevant evidence of gastrointestinal management on patients undergoing lumbar surgery,and summarize the best evidence.Methods:Evidence on gastrointestinal management in patients undergoing lumbar surgery were searched from NICE,NGC,JBI evidence-based health care center database,the Cochrane Library,PubMed,EMbase,Up To Date,Web of Science,WanFang Database,VIP,CNKI,CBM and other databases,including guidelines,expert consensus,evidence summaries,systematic reviews,and randomized controlled trials.The retrieval time was from inception to December 31,2020.Results:A total of 7 articles were included,including 1 guideline,2 expert consensus articles,3 systematic reviews and 1 RCT.Eight pieces of evidence from two dimensions were summarized,including risk screening,evaluation and intervention measures.Conclusions:Clinical medical staff should choose appropriate gastrointestinal management measures for patients undergoing lumbar surgery.When applying evidence,they should select evidence according to the clinical environment of their medical institution,individual differences of patients,and after full communication with patients and their families,so as to finally achieve the purpose of preventing or alleviating postoperative gastrointestinal discomfort symptoms of patients undergoing lumbar surgery.Finally,the purpose of preventing or alleviating postoperative gastrointestinal discomfort symptoms of patients undergoing lumbar surgery is achieved.