连续性肾脏替代治疗患者低体温监测与管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2025.05.019

摘要/Abstract

摘要：

目的检索、评价并综合连续性肾脏替代治疗患者低体温监测和管理的相关证据，为临床护理实践提供参考。方法系统检索UpToDate、BMJ Best Practice、英国国家卫生与临床优化研究所、国际指南协作网、加拿大安大略护士协会、苏格兰院际间指南网、中国医脉通指南网、Cochrane Library、PubMed、Embase、Web of Science、CINAHL、中国知网、万方数据库中关于连续性肾脏替代治疗患者低体温相关的证据，包括指南、专家共识、专家推荐、系统评价、临床决策、最佳实践及原始研究。检索时限为建库至2024年6月2日。由2名研究者独立进行文献质量评价和资料提取。结果共纳入15篇文献，包括1篇临床决策、2篇指南、2篇专家共识、1篇专家推荐、3篇系统评价、3篇随机对照试验、2篇病例对照、1篇队列研究。汇总、提取18条最佳证据，包括团队组成、危险因素识别、监测频率、监测部位、预防及管理5个类别。结论该研究总结的连续性肾脏替代治疗患者低体温监测和管理的最佳证据具有科学性和全面性，为医护人员规范管理连续性肾脏替代治疗低体温患者提供了循证依据。

关键词: 连续性肾脏替代治疗, 低体温, 证据总结, 循证护理学

Abstract:

Objective To retrieve，evaluate and synthesize the best evidence on monitoring and management for hypothermia in patients with continuous renal replacement therapy，and to provide reference for clinical evidence-based practice. Methods We searched UpToDate，BMJ Best Practice，National Institute for Health and Clinical Excellence，Guidelines International Network，Registered Nurses Association of Ontario，Scottish Intercollegiate Guidelines Network，Yimaitong guide network，Cochrane Library，PubMed，Embase，Web of Science，CINAHL，CNKI，Wanfang for guidelines，expert consensus，expert recommendations，systematic reviews，clinical decisions，best practices，and original studies on monitoring and management for hypothermia in patients with continuous renal replacement therapy. The search limit was from the time of database establishment to June 2，2024. Two researchers independently assessed methodological quality of included papers and extracted data. Results A total of 15 articles were included，including one clinical decision，two guidelines，two expert consensuses，one expert recommendation，three systematic reviews，three randomized controlled trials，two case-controlled studies，one cohort study. Finally，18 pieces of best evidence were summarized from 5 aspects，namely the team composition，risk factor identification，monitoring frequency，monitoring location，prevention and management. Conclusion The best evidence on monitoring and management for hypothermia in patients with continuous renal replacement therapy summarized in this study is scientific and comprehensive，and provides evidence-based basis for medical staff in standardized management for hypothermia in patients with continuous renal replacement therapy.

Key words: Continuous Renal Replacement Therapy, Hypothermia, Evidence Summary, Evidence-Based Nursing

陈丽花, 盛青青, 黄瑶, 王新宁, 谭玉凤, 何婷婷, 张书琴. 连续性肾脏替代治疗患者低体温监测与管理的最佳证据总结[J]. 中华急危重症护理杂志, 2025, 6(5): 610-615.

CHEN Lihua, SHENG Qingqing, HUANG Yao, WANG Xinning, TAN Yufeng, HE Tingting, ZHANG Shuqin. Summary of best evidence on monitoring and management for hypothermia in patients with continuous renal replacement therapy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 610-615.

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