收稿日期: 2024-02-27
网络出版日期: 2025-01-22
基金资助
甘肃省卫生健康行业科研计划项目(GSWSHL2022-24);甘肃省软科学专项(22JR4ZA102)
Summary of the best evidence and construction of flow chart of oxygen therapy after extubation in mechanically ventilated patients
目的 系统汇总机械通气患者拔管后氧疗方式的相关证据，根据最佳证据构建氧疗方式流程图，为临床医护人员氧疗决策提供参考。方法 系统检索指南网站及数据库中关于机械通气患者拔管后氧疗方式的相关文献，检索时限为建库至2024年1月12日，根据相应评价标准对文献进行评价，并提取、整合证据。结果 共纳入13篇文献，包括临床决策3篇、指南5篇、证据总结1篇、专家共识1篇、系统评价1篇、随机对照试验2篇；从基本原则、应用指征、应用方法、注意事项等4个方面汇总了24条最佳证据，并构建了机械通气患者拔管后氧疗方式流程图。结论 该研究总结了机械通气患者拔管后氧疗方式的最佳证据并构建了氧疗流程图，可为临床规范化选择拔管后氧疗方式提供参考。
贾东珲 , 周红芳 , 兰旭红 , 韩晓萌 , 王倩 , 王恒阳 , 张莹 , 杨暐 , 张志刚 . 机械通气患者拔管后氧疗方式的最佳证据总结及流程图构建[J]. 中华急危重症护理杂志, 2025 , 6(2) : 233 -239 . DOI: 10.3761/j.issn.2096-7446.2025.02.019
Objective To systematically summarize the relevant evidence of post-extubation oxygen therapy methods for mechanically ventilated patients，so as to construct a flow chart of oxygen therapy methods based on the best evidence，for providing the reference for clinical staff to make oxygen therapy decisions. Methods We systematically searched the literature on the post-extubation oxygen therapy methods for mechanically ventilated patients in guideline websites and databases（inception of the database to January 12，2024）. The literature was evaluated according to the corresponding evaluation criteria，and the evidence was extracted and integrated. Results A total of 13 literature incorporated，including three clinical decisions，five guidelines，an evidence summary，an expert consensus，a systematic review，and two randomized controlled trials. The 24 pieces of best evidence were summarized from 4 aspects，including basic principles，application indications，application methods，precautions. The post-extubation oxygen therapy flow chart for mechanically ventilated patients was constructed. Conclusion This study summarized the best evidence of post-extubation oxygen therapy for mechanically ventilated patients and constructed the flow chart of oxygen therapy，which can provide a basis for clinical standardized selection of post-extubation oxygen therapy methods.
Key words： Ventilators; Mechanical; Extubation; Oxygen Therapy; Flow Chart; Evidence-Based Nursing
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