机械通气患儿早期活动的最佳证据总结

doi:10.3761/j.issn.2096-7446.2025.05.007

摘要/Abstract

摘要：

目的检索并总结机械通气患儿早期活动的最佳证据，为儿科重症监护病房医护人员指导机械通气患儿进行科学有效的早期康复提供循证依据。方法计算机检索2010年1月—2024年3月国内外相关网站和数据库中机械通气患儿早期活动的文献，由2名研究者对证据进行汇总、分级并归纳总结。结果最终纳入13篇文献，其中临床决策1篇、指南2篇、专家共识4篇、系统评价3篇、队列研究3篇，提炼出9个主题、共37条最佳证据。结论总结的最佳证据为临床机械通气患儿早期康复活动提供循证依据，有助于改善患儿预后。

关键词: 机械通气, 重症儿童, 早期活动, 证据总结, 循证护理, 康复锻炼

Abstract:

Objective To search and summarize the best evidence of early mobilization of children with mechanical ventilation，and provide evidence-based evidence for medical staff in ICU to guide children with mechanical ventilation to carry out scientific and effective early rehabilitation mobilization. Methods The literature on early mobilization in mechanically ventilated pediatric patients were searched from domestic and foreign guideline websites and databases from January 2010 to March 2024. Two researchers extracted，graded and summarized the evidence. Results Finally 13 literatures were included，including a clinical decision，two guidelines，four expert consensuses，three systematic reviews and three cohort studies. A total of 37 pieces of evidence across 9 themes were extracted. Conclusion The best evidence summarized provides evidence-based basis for the early rehabilitation activities of children with mechanical ventilation in order to improve the prognosis of children.

Key words: Mechanical Ventilation, Critically Ill Children, Early Mobilization, Evidence Summary, Evidence-Based Nursing, Rehabilitation Exercise

石佳卉, 钟咏梅, 罗金玲, 春晓. 机械通气患儿早期活动的最佳证据总结[J]. 中华急危重症护理杂志, 2025, 6(5): 555-562.

SHI Jiahui, ZHONG Yongmei, LUO Jinling, CHUN Xiao. Evidence summary of early mobilization for mechanically ventilated pediatric patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 555-562.

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