全麻非眼部手术患者角膜损伤预防最佳证据的循证研究

Evidence-based study on the best evidence for prevention of corneal injury in patientsundergoing general anesthesia non-ocular surgery

目的探讨全身麻醉(全麻)非眼部手术患者预防角膜损伤的相关证据,为临床实践提供指导。方法检索Embase、Cochrane Library、PubMed、Web of Science、EBSCO、EBM、中国生物医学文献数据库、中国知网及万方数据库,检索时限为建库至2021年10月31日。收集全麻非眼部手术患者围手术期预防角膜损伤相关研究,对不同研究进行方法学质量评价并形成最佳证据。结果共纳入文献9篇,其中指南4篇,系统评价4篇,专家共识1篇。通过对证据进行提取与总结,形成全麻非眼部手术患者角膜损伤预防最佳证据28条。结论手术室人员应依据最佳证据加强全麻非眼部手术患者眼部保护,提升术中照护质量,同时在证据应用过程中因地制宜地进行证据的筛选与应用。

Objective To explore the relevant evidence of prevention of corneal injury in patients undergoing general anesthesia(GA)non-ocular surgery,and to provide guidance for clinical practice.Methods The Embase,Cochrane Library,PubMed,Web of Science,EBSCO,EBM,China Biology Medicine disc,China National Knowledge Infrastructure and Wanfang database were searched.The retrieval time limit was from the establishment of the database to October 31,2021.The relevant researchs on prevention of corneal injury in non-ocular surger patients under GA during perioperative period were collected.The methodological quality of different studies was evaluateed and the best evidences were formed.Results A total of 9 articles were included,including 4 guidelines,4 systematic evaluations and 1 expert consensus.Through the extraction and summary of evidence,28 pieces of best evidence for prevention of corneal injury in non-ocular surger patients under GA were formed.Conclusion The operating room personnel should strengthen the eye protection of non-ocular surgery patients under GA according to the best evidence,improve the quality of intraoperative care,and screen and apply evidence according to local conditions in the process of evidence application.