中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (12): 938-942.doi: 10.3969/j.issn.1671-4091.2024.12.012

• 血管通路 • 上一篇    下一篇

自体动静脉内瘘狭窄介入治疗手术后管理的证据总结

刘旺兴   申 微   罗 逊   施文剑    彭雪玲   谢 萍   刘东玲   胡正中    李 鑫   

  1. 410005 长沙，湖南省人民医院(湖南师范大学附属第一医院)1血液净化中心一部 2肾内科 3消毒供应中心一部 4手术室一部 
    410004 长沙，5南华大学附属长沙中心医院肿瘤科
  • 收稿日期:2024-05-07 修回日期:2024-09-02 出版日期:2024-12-12 发布日期:2024-12-12
  • 通讯作者: 申微 E-mail:swan916@sina.com
  • 基金资助:
    湖南省卫生健康委科研计划项目(B202314017099)；长沙市2021年度指导性科技计划项目(kzd21061)

Evidence summary for the management of autologous arteriovenous fistula stenosis after interventional therapy

LIU Wang-xing, SHEN Wei, LUO Xun, SHI Wen-jian, PENG Xue-ling, XIE Ping, LIU Dong-ling, HU Zheng-zhong, LI Xin   

  1. Blood Purification Center, 2Department of Nephrology, 3Disinfection Supply Center, and 4Operating Theatre, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China; 5Oncology Department, University of South China Affiliated Changsha Central Hospital, Changsha 410004, China
  • Received:2024-05-07 Revised:2024-09-02 Online:2024-12-12 Published:2024-12-12
  • Contact: 410005 长沙，湖南省人民医院(湖南师范大学附属第一医院)1血液净化中心一部 E-mail:swan916@sina.com

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摘要： 目的 检索并评价整合自体动静脉内瘘(arteriovenous fistula,AVF)狭窄介入治疗手术后管理的相关证据，为临床实践提供循证证据。 方法  按照“6S”模型系统检索计算机临床决策系统、指南数据库、国内外数据库及相关专业协会网站关于AVF狭窄介入治疗手术后管理的证据，检索时限为建库至2024年2月26日。由4名研究者独立对各类文献质量评价后进行证据提取与汇总。 结果 共纳入9篇文献，其中临床决策5篇、指南3篇、专家共识1篇，从手术后评估与监测、手术后用药、AVF穿刺与维护、并发症预防及处理和患者教育5个方面总结了25条证据。 结论 本研究总结、形成了AVF狭窄介入治疗手术后管理的最佳证据，具有一定的科学性和实用价值，可为医护人员提供循证依据，对科学护理介入治疗手术后患者的AVF具有指导意义。

关键词: 动静脉内瘘, 经皮腔内血管成形术, 循证护理学

Abstract: Objective To retrieve and evaluate the relevant evidence about the integrated management of autologous arteriovenous fistula (AVF) stenosis after interventional therapy, and to provide evidence-based data for clinical practice.  Methods  According to the "6S" model system, the evidence about postoperative management of AVF stenosis after interventional therapy was retrieved from computer clinical decision-making system, guideline database, domestic and foreign databases, and websites of relevant professional associations. The retrieval time was ended at February 26, 2024. After independent evaluation of the quality of retrieved documents by four researchers, the evidence was extracted and summarized.  Results  A total of 9 articles were included, including 5 clinical decisions, 3 guidelines and one expert consensus. Twenty-five items of evidence were summarized from five aspects: postoperative evaluation and monitoring, postoperative medication, puncture and maintenance of arteriovenous fistula, prevention and treatment of complications and patient education.  Conclusion This study summarizes the best evidence of postoperative management of AVF stenosis after interventional therapy, having scientific and practical value in that it provides evidence-based information for medical and nursing care staff to scientifically manage the AVF stenosis patients after interventional therapy.

Key words: Arteriovenous fistula, Percutaneous transluminal angioplasty, Evidence-based nursing care

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