ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 1: 70 - 76

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.01.010

指南与标准

急性主动脉夹层急诊护理实践专家共识

  • 中华护理学会内科护理专业委员会 ,
  • 国家心血管病专家委员会护理专业委员会 ,
  • （执笔：田青 ,
  • 庞冉 ,
  • 赵蕊 ,
  • 王梦微 ,
  • 谢韵漪 ,
  • 刘裕文 ,
  • 王菲 ,
  • 哈树松 ,
  • 王涵乐
展开
  • 1.中国医学科学院阜外医院急诊室 北京市 100037
    2.中国医学科学院阜外医院护理部 北京市 100037
    3.北京协和医学院护理学院 北京市 100144
田青：女，硕士，主管护师，E-mail：1287401135@qq.com
*庞冉，E-mail：pp12pra@sina.com

收稿日期: 2025-04-21

  网络出版日期: 2026-01-06

基金资助

纵向-中央高水平医院临床科研业务费(零余额2025-GSP-TS-4)

收起

Expert consensus on emergency nursing practice for patients with acute aortic dissection

  • Internal Medicine Nursing Professional Committee of the Chinese Nursing Association ,
  • Nursing Professional Committee of the National Cardiovascular Disease Expert Committee ,
  • （Writing Committee：TIAN Qing ,
  • PANG Ran ,
  • ZHAO Rui ,
  • WANG Mengwei ,
  • XIE Yunyi ,
  • LIU Yuwen ,
  • WANG Fei ,
  • HA Shusong ,
  • WANG Hanle
Expand
  • 1. Emergency Room， Fuwai Hospital，Chinese Academy of Medical Sciences， Beijing 100037， China
    2. Nursing Depart-ment， Fuwai Hospital，Chinese Academy of Medical Sciences， Beijing 100037， China
    3. School of Nursing， Peking Union Medical College， Beijing 100144， China

Received date: 2025-04-21

  Online published: 2026-01-06

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摘要

目的 制订急性主动脉夹层急诊护理实践专家共识（以下简称“共识”），以规范临床护理实践。方法 检索国内外相关文献，评价和汇总相关证据，并进行证据等级划分、确定证据推荐级别，形成“共识”初稿。2025年3月—4月，通过2轮专家函询并邀请9名专家进行论证，形成“共识”终稿。结果 共19名专家参与函询，2轮函询的专家积极程度分别为95%、100%，权威系数为0.929，各条目指标重要性评分均>3.5分，变异系数均<0.25，肯德尔和谐系数分别为0.14、0.188（P<0.001）。“共识”包括急诊预检分诊、急诊检查、急救与护理、转运4个方面的内容。结论 构建的“共识”具有较强的科学性，可为临床护理人员开展急性主动脉夹层患者急诊护理工作提供参考。

关键词： 急性主动脉夹层; 急诊; 护理; 专家共识

本文引用格式

中华护理学会内科护理专业委员会 , 国家心血管病专家委员会护理专业委员会 , （执笔：田青 , 庞冉 , 赵蕊 , 王梦微 , 谢韵漪 , 刘裕文 , 王菲 , 哈树松 , 王涵乐 . 急性主动脉夹层急诊护理实践专家共识[J]. 中华急危重症护理杂志, 2026 , 7(1) : 70 -76 . DOI: 10.3761/j.issn.2096-7446.2026.01.010

Abstract

Objective To formulate the expert consensus on emergency nursing practice for patients with acute aortic dissection（AAD） （hereinafter referred to as the “consensus”） in order to standardize clinical nursing practice. Methods Based on the review of relevant literature，evaluation and summary of relevant evidence，and classification of evidence levels，the first draft of the consensus was formed. From March to April 2025，2 rounds of expert consultations and 9 experts were invited to conduct a validation and revise the items to form the final consensus. Results Totally 19 experts participated in the inquiry. The positive coefficient of experts was 95% and 100%，the authority coefficient was 0.929. The average value of each index was more than 3.5；the coefficient of variation was less than 0.25. The Kendall’s harmony coefficient for 2 rounds of expert consultation was 0.14 and 0.188（P<0.001）. The final consensus included four domains：emergency triage，emergency examination，emergency and nursing，and patient transportation. Conclusion The consensus is highly scientific，and it can provide a practical reference for clinical nurses managing emergency care for AAD patients.

Key words： Acute Aortic Dissection; Emergency Department; Nursing Care; Expert Consensus

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