成年患者的PONV管理:基于证据的总结
Yiting Wang1, Jiaqi Shi1, Yanjun Wei1
1Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang City, Jiangsu Province, China.
这项研究总结了全球关于管理成人的外科手术后恶心和吐的证据. 有效的管理策略可以减少发病率和严重程度,有助于患者康复.
科学领域:
- 麻醉学 麻醉学
- 基于证据的医学基于证据的医学.
- 患者护理 患者护理
背景情况:
- 手术后恶心和吐 (PONV) 是影响成年手术患者的常见并发症.
- 有效管理PONV对于患者的舒适和康复至关重要.
研究的目的:
- 综合全球成年患者的外科手术后恶心和吐管理的最佳现有证据.
- 提供关于PONV控制当前最佳实践的全面概述.
主要方法:
- 对多个国际数据库和指南存储库进行了系统搜索.
- 纳入标准集中在临床决策,最佳实践,系统审查,证据摘要和专家共识上.
- 证据质量由两位作者独立评估.
主要成果:
- 包括22项研究,包括各种类型的证据,如系统性审查和临床指南.
- 在七个关键领域总结了37个证据:风险因素,评估,预防,教育,非药物干预,药物管理和止痛.
- 主要发现包括风险识别,评估工具和多式联运预防策略.
结论:
- 医疗保健团队应利用根据部门需求和临床实践量身定制的基于证据的策略.
- 科学管理PONV可以降低其发病率和严重程度.
- 优化PONV管理有助于加速患者康复.
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