摘要
目的检索、总结主动脉疾病患者围手术期疼痛管理的最佳证据。方法根据“6S”模型,检索国内外数据库及相关网站中关于主动脉疾病围手术期疼痛管理的最佳证据,检索时限为建库至2023年8月1日。结果共纳入文献15篇,包括临床决策7篇,指南1篇,专家共识5篇,系统评价1篇,随机对照研究1篇,最终从疼痛管理原则、疼痛评估、术前、术中、术后和居家疼痛管理等6个方面总结19条最佳证据。结论医护人员应重视主动脉疾病患者的疼痛管理,结合临床实际应用最佳证据总结,及时评估与干预,缓解患者疼痛。
Objective To search and summarize the best evidence of perioperative pain management in patients with aortic disease.Methods According to the"6S"model,the best evidence on perioperative pain management of aortic disease was searched from domestic and foreign databases and related websites from the establishment to 1 August 2023.Results A total of 15 articles were incorporated,comprising 7 clinical decisions,1 guideline,5 expert consensus documents,1 systematic review and 1 randomized controlled trial study.The evidence synthesis of the included literature yielded of 19 pieces of evidences into 6 aspects:pain management principles,pain evaluation,preoperative,intraoperative,postoperative and home pain management.Conclusion Medical staff should pay attention to the pain management of patients with aortic disease,combined with the best evidence summary of clinical application,timely evaluation and intervention to relieve pain of patients.
作者
王露露
翁艳敏
王迪
王鹏程
张艳艳
蔡晶
张萍
李晓强
Wang Lulu;Weng Yanmin;Wang Di;Wang Pengcheng;Zhang Yanyan;Cai Jing;Zhang Ping;Li Xiaoqiang(Department of Vascular Surgery,The Affiliated Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu,China;Department of Emergency,The First Affiliated Hospital With Nanjing Medical University,Nanjing 210009,Jiangsu,China)
出处
《中国血管外科杂志(电子版)》
2024年第3期269-274,共6页
Chinese Journal of Vascular Surgery(Electronic Version)
基金
国家自然科学基金项目(82200543)
南京市卫生科技发展专项资金项目计划(YKK23093)
南京大学中国医院改革发展研究院课题(NDYG2022065)。
关键词
主动脉夹层
围手术期
疼痛
证据总结
Aortic dissection
Perioperative period
Pain
Summary of evidence