目的 检索、评价和整合机械通气患者床旁纤维支气管镜检查术操作配合的相关证据。 方法 计算机检索国内外数据库、相关专业网站中关于机械通气患者床旁纤维支气管镜检查术护理配合的决策支持系统、综合性证据总结、循证指南、专家共识、系统评价、原始研究，文献检索时限为2014年12月31日—2024年12月31日，由2名研究者独立进行文献质量评价后，根据主题对证据进行提取与汇总。结果 根据纳入标准，共筛选出11篇文献，包括5篇综合性证据总结、3篇指南、3篇专家共识。通过文献阅读、证据提取和归类，从适应证、风险评估、患者准备、用物准备、操作人员管理、呼吸道管理、镇静镇痛管理、并发症识别与管理、检查后评估、感控管理、设备处理11个主题总结出33条证据。结论 该研究总结了机械通气患者床旁纤维支气管镜检查术操作配合的最佳证据，可为护理人员开展临床实践提供参考。护理人员应结合临床情境审慎地选择并应用证据，从而保障患者安全，降低相关并发症的发生率。

Objective To retrieve，evaluate，and integrate evidence for the cooperation of bedside fiberoptic bronchoscopy in mechanically ventilated patients. Methods The decision support system，synthesized evidence summaries，guidelines，systematic review and studies on nursing cooperation with bedside fiberoptic bronchoscopy for patients with mechanical ventilation were searched by computer in domestic and foreign databases and related professional websites. The literature search period was from December 31，2014 to December 31，2024. The literature quality was independently evaluated by 2 researchers. The evidences were extracted and summarized according to the topic. Results According to the inclusion criteria，a total of 11 literatures were selected，including 5 synthesized evidence summaries，3 guidelines and 3 expert consensuses. Through literature reading，evidence extraction and classification，33 pieces of evidence were summarized from 11 topics，including indications，risk assessment，patient preparation，substance preparation，operator management，respiratory management，sedation and analgesia management，complication identification and management，post-examination assessment，infection control management，equipment handling. Conclusion This study summarizes the best evidence for the cooperation of bedside fiberoptic bronchoscopy in mechanically ventilated patients，which can provide reference for nurses to carry out clinical practice. Nursing staff should carefully select and apply evidence in the context of the clinical situation to ensure patient safety and reduce the incidence of related complications.