目的检索、评价和总结PICC相关性血栓风险评估的最佳证据,为构建相关评估工具提供参考。方法计算机检索BMJ最佳临床实践(British Medical Journal Best Practice)、Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注...目的检索、评价和总结PICC相关性血栓风险评估的最佳证据,为构建相关评估工具提供参考。方法计算机检索BMJ最佳临床实践(British Medical Journal Best Practice)、Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会、美国指南网、国际实践指南注册平台(中文)、中国临床指南文库,以及Pub Med、EMbase、中国知网、中国生物医学数据库建库至2017年3月涉及PICC相关性血栓风险评估的所有文献,包括临床实践指南、最佳实践信息册、推荐实践及系统评价。结果共纳入8篇文献,包括临床实践指南5篇、系统评价3篇。总结个体因素、医源性因素、导管相关因素3大类别,共18项最佳证据。结论 PICC置管前进行个体化的血栓风险评估对预防PICC相关性血栓至关重要。医疗机构应按照循证证据建立PICC相关性血栓的评估制度、程序和实践标准。展开更多
In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complication...In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complications,diabetic foot disease is one of the main causes of disability and death in diabetic patients.Due to the differences in economy,culture,religion and level of medical care available across different regions,preventive and treatment methods and curative results for diabetic foot vary greatly.In multidisciplinary models built around diabetic foot,the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology.In 2019,under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society,the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease(2020 edition)was established with the participation of scholars from the specialist areas of endocrinology,burn injury,vascular surgery,orthopedics,foot and ankle surgery and cardiology.Drawing lessons from diabetic foot guidelines from other countries,this guide analyses clinical practices for diabetic foot,queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China.This paper begins with assessments and diagnoses of diabetic foot,then describes treatments for diabetic foot in detail,and ends with protections for high-risk feet and the prevention of ulcers.This manuscript covers the disciplines of internal medicine,surgical,nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.展开更多
文摘目的检索、评价和总结PICC相关性血栓风险评估的最佳证据,为构建相关评估工具提供参考。方法计算机检索BMJ最佳临床实践(British Medical Journal Best Practice)、Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会、美国指南网、国际实践指南注册平台(中文)、中国临床指南文库,以及Pub Med、EMbase、中国知网、中国生物医学数据库建库至2017年3月涉及PICC相关性血栓风险评估的所有文献,包括临床实践指南、最佳实践信息册、推荐实践及系统评价。结果共纳入8篇文献,包括临床实践指南5篇、系统评价3篇。总结个体因素、医源性因素、导管相关因素3大类别,共18项最佳证据。结论 PICC置管前进行个体化的血栓风险评估对预防PICC相关性血栓至关重要。医疗机构应按照循证证据建立PICC相关性血栓的评估制度、程序和实践标准。
基金The National Natural Science Foundation of China(grant number:81770810)。
文摘In recent years,as living standards have continued to improve,the number of diabetes patients in China,along with the incidence of complications associated with the disease,has been increasing.Among these complications,diabetic foot disease is one of the main causes of disability and death in diabetic patients.Due to the differences in economy,culture,religion and level of medical care available across different regions,preventive and treatment methods and curative results for diabetic foot vary greatly.In multidisciplinary models built around diabetic foot,the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology.In 2019,under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society,the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease(2020 edition)was established with the participation of scholars from the specialist areas of endocrinology,burn injury,vascular surgery,orthopedics,foot and ankle surgery and cardiology.Drawing lessons from diabetic foot guidelines from other countries,this guide analyses clinical practices for diabetic foot,queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China.This paper begins with assessments and diagnoses of diabetic foot,then describes treatments for diabetic foot in detail,and ends with protections for high-risk feet and the prevention of ulcers.This manuscript covers the disciplines of internal medicine,surgical,nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.
