急性心肌梗死PCI術(shù)后病人便秘預(yù)防與管理的最佳證據(jù)總結(jié)

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Summary of the best evidence for the prevention and management of constipation in patients with acute myocardial infarction after PCI

XU Bingxian，WANG Qianyi，WU Lei，WEN Yaojuan，XU YananJiangyin People′s Hospital，Jiangsu 214400 ChinaCorresponding Author XU Bingxian，E-mail：1153638653@qq.com

Abstract Objective：To retrieve and summarize the relevant evidence for the prevention and management of constipation in patients with acute myocardial infarction（AMI） after percutaneous coronary intervention（PCI） in China and abroad，in order to provide a basis for clinical practice.Methods：According to the"6S" model，literature included clinical decision-making，recommended practice，guidelines，expert consensus，systematic review，and evidence summary was systematically retrieved from domestic and foreign databases and related professional websites from January 1，2018 to May 31，2023.The quality of the literature was evaluated，and the evidence was extracted and summarized.Results：A total of 16 documents were included，including 4 guidelines，3 expert consensus，1 recommended practice，1 clinical decision-making，and 7 randomized controlled trial（RCT）.A total of 38 pieces of best evidence were extracted from 5 aspects：professional nursing team，evaluation timing and content，basic management，drug care，and traditional Chinese medicine nursing technology.Conclusions：This study summarizes the best evidence for the prevention and management of constipation in AMI patients after PCI.Medical staff can select and apply evidence in a targeted manner based on specific clinical situations to reduce the occurrence of constipation and adverse cardiac events.

Keywords acute myocardial infarction，AMI;percutaneous coronary intervention，PCI;constipation;management;prevention;evidence-based nursing；evidence summary

摘要 目的：檢索并總結(jié)國內(nèi)外急性心肌梗死（AMI）病人經(jīng)皮冠狀動脈介入治療（PCI）術(shù)后便秘預(yù)防與管理的相關(guān)證據(jù)，為臨床實(shí)踐提供依據(jù)。（剩余11174字）