围术期患者哮喘评估与干预的最佳证据总结

Summary of the best evidence for perioperative asthma assessment and intervention

目的评价并整合围术期患者哮喘评估与干预的最佳证据。方法系统检索BMJ、Up To Date、美国指南网(NGC)、英国国家临床医学研究所指南库(NICE)、加拿大医学会临床实践指南(CMA)、加拿大安大略注册护士协会(RNAO)、苏格兰学院间指南网(SIGN)、新西兰指南协作组(NZGG)、医脉通、JBI、Cochrane Library、PubMed、WOS、万方、中国知网、维普、中国生物医学文献服务系统(SinoMed)、美国胸科学会(ATS)、欧洲呼吸学会(ERS)等相关网站或数据库,检索并提取关于围术期患者哮喘评估与干预的指南、临床决策、证据总结、系统评价、专家共识,检索时间为建库至2022年8月。结果本研究共纳入文献13篇,其中指南5篇、专家共识4篇、系统评价1篇、临床决策3篇。最佳证据包括围术期患者哮喘管理的一般原则、诱发因素及危险因素、评估、干预措施、健康教育、效果评价和经济效益7个方面,共27条证据。结论本研究总结了围术期患者哮喘评估与干预的最佳证据,研究方法科学,内容全面,可为围术期患者哮喘预防与管理提供循证依据。

Objective To evaluate and integrate the best evidence of asthma evaluation and intervention of perioperative patients.Methods Relevant websites and databases including BMJ,Up To Date,American Guide Network(NGC),National Institute for Clinical Medicine Guidelines(NICE),Canadian Medical Association Clinical Practice Guidelines(CMA),Canadian Association of Registered Nurses of Ontario(RNAO),Scottish Inter-College Guidelines Network(SIGN),New Zealand Guidelines Collaboration Group(NZGG),Medlive,JBI,Cochrane Library,PubMed,WOS,Wanfang,CNKI,VIP,China Biomedical Literature Service System(SinoMed),American Thoracic Society(ATS),European Respiratory Society(ERS)were searched.Guidelines,clinical decisions,recommended practice,evidence summaries,systematic reviews,expert consensus on asthma evaluation and intervention of perioperative patients were extracted.The retrieval time was from the establishment of the database to August 2022.Results A total of 13 articles were included:5 guidelines,4 expert consensus,1 systematic review and 3 expert consensus.The best evidence included 27 pieces of evidence from 7 aspects:general principles,preemptive factors and risk factors,assessment,intervention measures,health education,effect evaluation and economic benefits of asthma management of perioperative patients.Conclusion This study summarizes the best evidence of asthma evaluation and intervention in perioperative patients.The research method is scientific and the content is comprehensive,which can provide evidence-based basis for the prevention and management of asthma in perioperative patients.