髖膝關(guān)節(jié)置換術(shù)圍術(shù)期靜脈血栓栓塞癥預(yù)防的最佳證據(jù)總結(jié)
AbstractObjective:Toretrieve,evaluateandsummarizethebestevidencefor thepreventive measuresofvenous thromboembolism, VTEinpatientsundergoinghipandknarthroplastyduringtheperioperativeperodandtoprovideeferenceforclinicalpactice. Methods:ArticlesonthepreventionofVTEduringtheperioperativeperiodofipandkneearthroplastywereretrievedfrom UpToDate、 BMJ Best Practice、GIN、NICE、ACCP、AAOS、ASH、ESA、the Cochrane Library、PubMed、Web of Science、EMbase、 CBM、CNKI、VIP、WanFang Database,etc.Thesearch period wasfrom theestablishmentof thedatabasetoMarch 22,2023.The qualityoftheguidelineswasindependentlyevaluatedby4researchers,andthequalityoftheexpertconsensuswasindependently evaluatedby2researchers.EvidencewasextractedandthebestevidencewasintegratedResults:Atotalof4articleswereincluded, including7guideliesand7expertconsensations.Twenty-twobestpiecesofevidenceweresummarizedfromsixaspects:riskaesment andscreening,iskfactors,basicprevention,mechanicalprevention,drugprevention,andhealtheducation.Conclusions:Thebest evidencesummarizedinthisstudycanprovidereferenceformedicalstaftoformulateVTEpreventionplansforpatientsundergoinghip andkneearthoplastyringtepriopeatieprd,adardciicalEpevetionmeasuresndterebyduceteidef VTE in patients undergoing hip and knee arthroplasty during the perioperative period.
Keywordstotalhiparthroplasty;totalkneearthroplasty;venousthromboembolism;perioperativeperiod;summaryofevidence; evidence-based nursing
摘要目的:檢索、評價并總結(jié)髖膝關(guān)節(jié)置換術(shù)病人圍術(shù)期靜脈血栓栓塞癥(VTE)預(yù)防措施的最佳證據(jù),為臨床實踐提供參考。(剩余10057字)
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