摘要
目的对成人全麻且无合并症患者的相关麻醉前评估指南进行内容分析,为构建我国麻醉前评估临床实践内容提供参考。方法检索国内外文献数据库、指南数据库及协会网站,按照纳入和排除标准筛选指南;采用内容分析法,对纳入指南进行文献内容分析。结果共纳入5份临床实践指南,均为国外发表。析出既往史和现病史、体格检查、实验室检查3个主题共39项内容。我国暂无针对无合并症全麻患者的指南。指南中推荐对患者进行实验室检查是应根据病史及临床症状进行。结论我国可依据国外指南推荐内容,结合我国国情加强临床实践规范,并构建适合本国成人全麻无合并症患者临床实践方案。
Ojective Analyze current clinical practice guidelines related to pre-anesthesia assessment to provide a resource for healthcare providers （or institutions） seeking protocols of their own. Methods National and international guideline databases were searched along with healthcare organizations and associations. Content analysis method was used to analyze clinical practice guidelines searched from internet and obtained in the database search. Results Five clinical practice guidelines were included. A total of 39 items related to pre-anesthesia assessment were identified and when divided into 3 essential areas： 1） past history and present medical, 2） physical examination, and 3） laboratory examination. There is no guidance to general anesthesia currently in China. Pre-anesthesia testing in the presence of specific clinical characteristics was recommended. Conclusion We should develop local clinical practice guidelines of preanesthesia assessment with consideration of the actual medical situations in China.
作者
赵雪娇
胡嘉乐
Beverly G.Gay
阮洪
ZHAO Xuejiao;HU Jiale;Beverly G. GAY;RUAN Hong(Shanghai Jiaotong University School of Nursing, Shanghai 200020, Chin)
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2018年第5期463-467,共5页
Journal of Clinical Anesthesiology
基金
上海市教委护理高原多学科创新基金(HLgy1601dxk)
关键词
麻醉前评估
临床实践指南
内容分析法
Pre-anesthesia assessment
Clinical practice guideline
Content analysis method
