极低与超低出生体重儿液体管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2022.01.004

摘要/Abstract

摘要： 目的检索并评价极低、超低出生体重儿液体管理相关证据,形成最佳证据。方法系统检索BMJ Best Practice、UpToDate、Cochrane Library、乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心数据库、苏格兰院际指南网、国际指南图书馆、中国指南网、CINAHL、PubMed、Embase、中国生物医学文献数据库、中国知网、万方数据库等网站及数据库内关于极低、超低出生体重儿液体管理的所有证据,包括指南、临床决策、系统评价、证据总结、专家共识及相关原始研究。检索时限为建库至2021年3月。结果共纳入9篇文献,包括2篇指南、1篇临床决策、2篇系统评价、3篇证据总结、1篇随机对照试验研究。从液体评估、计算、预防及管理、监测4个方面总结了16条证据。结论本研究总结了极低、超低出生体重儿液体管理的最佳证据,可为临床实践提供循证依据。

关键词: 新生儿护理, 婴儿, 极低出生体重, 婴儿, 超低出生体重, 补液疗法, 循证护理学

Abstract: Objective To search and evaluate the evidence of fluid management in very low birth weight and extremely low birth weight infants,and then form the best evidence. Methods We searched the literature from BMJ Best Practice, UpToDate, Cochrane Library, Joanna Briggs Institute（JBI）, Scottish Intercollegiate Guidelines Network（SIGNP）, CINAHL, PubMed, Embase, CBM, CNKI, Wanfang to collect relevant guidelines,systematic reviews,best practice information sheets,evidence summaries,expert consensuses and original studies. The retrieval period was from the inception of databases to March 2021. Results A total of 9 literatures were enrolled,including 2 guidelines,1 clinical decision-making,2 systematic reviews,3 evidence summaries and 1 randomized controlled trial. Totally 16 pieces of best evidence were summarized from 4 aspects,fluid evaluation,calculation,prevention and management,monitoring. Conclusion This study summarized the best evidence of fluid management of very low and extremely low birth weight infants,which can provide evidence-based basis for clinical staff.

Key words: Neonatal Nursing, Infant,Very Low Birth Weight, Infant,Extremely Low Birth Weight, Fluid Therapy, Evidence-Based Nursing

吴倩, 郁晓曼, 于蓉, 李倩倩, 魏丽丽. 极低与超低出生体重儿液体管理的最佳证据总结[J]. 中华急危重症护理杂志, 2022, 3(1): 30-35.

WU Qian, YU Xiaoman, YU Rong, LI Qianqian, WEI Lili. Summary of the best evidence for fluid management in very low and extremely low birth weight infants[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(1): 30-35.

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