以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (12): 21-26.doi: 10.16460/j.issn1008-9969.2021.12.021

• 循证护理 • 上一篇    下一篇

ICU成人危重症患者血糖管理的最佳证据总结

李菁菁a, 潘文彦b, 王晓容a, 赵金萍a, 蔡诗凝a   

  1. 复旦大学附属中山医院 a.外科监护室; b.护理部,上海 200032
  • 收稿日期:2020-11-12 出版日期:2021-06-25 发布日期:2021-07-06
  • 通讯作者: 潘文彦（1979-）,女,上海人,本科学历,副主任护师,总护士长。E-mail:pan.wenyan@zs-hospital.sh.cn
  • 作者简介:李菁菁（1994-）,女,上海人,本科学历,护师。
  • 基金资助:
    上海市科学技术委员会项目（20XD1420800）; 复旦大学附属中山医院青年发展基金（2019ZSQN03）; 复旦大学附属中山医院管理基金（2020ZSGL04）

Best Evidence Summary of Blood Glucose Management for ICU Adult Patients

LI Jing-jinga, PAN Wen-yanb, WANG Xiao-ronga, ZHAO Jin-Pinga, CAI Shi-ninga   

  1. 1. Surgical Intensive Care Unit;
    2. Dept. of Nursing Administration, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2020-11-12 Online:2021-06-25 Published:2021-07-06

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摘要： 目的 总结ICU成人危重症患者血糖管理的最佳证据,为临床实践提供参考。方法 检索Up To Date、JBI循证卫生保健中心数据库、BMJ Best Practice、Cochrane Library、国际指南协作网(Guidelines International Network, GIN)、英国国家卫生与临床优化研究所(National Institute for Health and Care Excellence, NICE)、苏格兰院际指南网(Scottish Intercollegiate Guidelines Network, SIGN)、美国国立指南库(National Guideline Clearinghouse, NGC)、加拿大安大略注册护士协会(Registered Nurses Association of Ontario, RNAO)、美国危重症学会（Society of Critical Care Medicine, SCCM）、PubMed、EMBASE、Springer、中国知网、万方、维普网中所有ICU成人危重症患者血糖管理相关的临床决策、指南、证据总结、专家共识。通过文献质量评价,对符合质量标准的文献进行证据提取。结果 共纳入11篇文献,其中1篇临床决策、4篇指南、4篇专家共识、2篇证据总结。形成的最佳证据包括血糖控制目标、血糖监测、高血糖的管理、低血糖的管理、脓毒症患者血糖管理和质量控制6个方面,共19条证据。结论 ICU血糖管理对危重症患者有重要意义,通过总结最佳证据,可为临床工作提供参考。

关键词: 危重症, 血糖管理, 证据总结

Abstract: Objective To summarize the best evidence for blood glucose management in ICU adult patients to provide reference for clinical practice. Methods We searched Up To Date, JBI, BMJ Best Practice, Cochrane Library, Guidelines International Network(GIN), National Institute for Health and Care Excellence,(NICE), Scottish Intercollegiate Guidelines Network(SIGN), National Guideline Clearinghouse(NGC), Registered Nurses Association of Ontario(RNAO), Society of Critical Care Medicine(SCCM), PubMed, EMBASE, Springer, CNKI, Wangfang and VIP to collect clinical decisions, guidelines, evidence summaries, expert consensus related to blood glucose management of adult patients in ICU. Through literature quality evaluation, evidence was extracted from the literature that met the quality standards. Results A total of 11 articles were selected: 1 clinical decision, 4 guidelines, 4 expert consensuses and 2 evidence summaries. Nineteen pieces of best evidence were obtained including 7 aspects of blood glucose control goals, blood glucose monitoring, hyperglycemia management,hypoglycemia management, sepsis patient management and quality control. Conclusion Blood glucose management plays a crucial role in ICU and best evidence summary of blood glucose management provides reference for clinical practice.

Key words: critical ill, blood glucose management, evidence summary

中图分类号: 

  • R473
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