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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (14): 37-42.doi: 10.16460/j.issn1008-9969.2022.14.037

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Best Evidence Summary of Intra-hospital Management of Intravenous Thrombolysis in Acute Ischemic Stroke

GAO Ping1,2a, ZHANG Biao-xin3, Song Gui-qi2b, Zhang Hai-ling2c, Shi Ke2c, Hu Wei2d   

  1. 1. School of Nursing, Anhui Medical University, Hefei 230022, China;
    2a. Dept. of Emergency; 2b. Education Section; 2c. Dept. of Nursing Administration; 2d. Dept. of Neurology, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Hefei 230001,China;
    3. Dept. of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
  • Received:2022-04-07 Online:2022-07-25 Published:2022-08-02

Abstract: Objective To search, evaluate and integrate the best evidence of intra-hospital management of intravenous thrombolysis in acute ischemic stroke, and to provide basis for intra-hospital management of intravenous thrombolysis in patients with acute ischemic stroke. Methods Computer search was conducted for all the evidence published on UpToDate, BMJ Best Practice, GIN, SIGN, NICE, NGC, Cochrane Library, JBI, Embase, PubMed, OVID, Yimai Tong, CNKI, Wanfang Database from January 2011 to December 2021, including guidelines, systematic evaluation, evidence summary, recommended practice and expert consensus. Two researchers conducted quality evaluation, evidence extraction and evidence synthesis for eligible articles. Results Thirteen articles were collected, including 5 guidelines, 3 systematic evaluations, 1 evidence summary, and 4 expert consensus/position statements. Forty-three pieces of evidence were summarized from 7 dimensions including preview triage, evaluating severity, acute care, thrombolysis treatment, thrombolysis guardianship, complications nursing, quality management in acute ischemic stroke. Conclusion The evidence summary of intra-hospital management of intravenous thrombolysis in acute ischemic stroke can provide evidence-based practice basis for clinical practice. In evidence transformation, selective application of evidence should be combined with hospital environment, clinical practice and patient willingness, so as to improve patient outcomes.

Key words: ischemic stroke, intravenous thrombolysis, summary of evidence, evidence-based nursing

CLC Number: 

  • R459.7
[1] 尤黎明,吴瑛,内科护理学[M].北京:人民卫生出版社,2021:832.
[2] Wang W, Jiang B, Sun H, et al.Prevalence,Incidence,and Mortality of Stroke in China:Results from a Nationwide Population-based Survey of 480,687 Adults[J]. Circulation, 2017, 135(8):759-771.DOI:10.1161/CIRCULATIONAHA.116.025250.
[3] Wang D, Liu J, Liu M, et al.Patterns of Stork Between University Hospitals and Non-university Hospitals in Mainland China: A Prospective Multicenter Hospital-Based Registry Study[J]. World Neurosurg, 2017(98):258-265. DOI:10.1016/j.wneu.2016.11.006.
[4] Berge E, Whiteley W, Audebert H, et al. European Stroke Organisation (ESO) Guidelines on Intravenous Thrombolysis for Acute Ischaemic Stroke[J]. Eur Stroke J, 2021,6(1):I-LXII. DOI:10.1177/2396987321989865.
[5] Powers WJ, Rabinstein AA, Ackerson T, et al.Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2019,50(12):e344-e418. DOI:10.1161/STR.0000000000000211.
[6] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志, 2018, 51(9):666-682.DOI:10.3760/cma.j.issn.1006-7876.2018.09.004.
[7] Powers WJ, Rabinstein AA, Ackerson T, et al.2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke:A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J]. Stroke, 2018,49(3):e46-e110. DOI:10.1161/STR.0000000000000158.
[8] 郭伟,李斗,彭鹏.急性缺血性脑卒中急诊急救中国专家共识(2018)[J].临床急诊杂志,2018, 19(6):351-359.DOI:10.13201/j.issn.1009-5918.2018.06.001.
[9] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[10] 胡雁,周凤英.循证护理证据临床转化理论与实践[M].上海:复旦大学出版社,2021:8-9.
[11] Seto K, Matsumoto K, Kitazawa T, et al.Evaluation of Clinical Practice Guidelines Using the AGREE Instrument:Comparison Between Data Obtained from AGREE I and AGREE II[J]. BMC Res Notes, 2017,10(1):716. DOI:10.1186/s13104-017-3041-7.
[12] 曹锐,胡芬,朱小平,等.ICU成人患者规范化身体约束证据总结[J].中国护理管理,2018,18(12):1600-1607.DOI:10.3969/j.issn.1672-1756.2018.12.004.
[13] 刘杨,罗健,朱佩佩,等.髋部手术患者术后康复指南的质量评价及内容分析[J].护理学报,2021,28(12):56-61.DOI:10.16460/j.issn1008-9969.2021.12.056.
[14] Shea BJ, Reeves BC, Wells G, et al.AMSTAR 2:A Critical Appraisal Tool for Systematic Reviews That Include Randomised or Non-randomised Studies of Healthcare Interventions,or Both[J]. BMJ,2017,358:j4008. DOI:10.1136/bmj.j4008.
[15] The Joanna Briggs Institute. Critical Appraisal Checklist for Text and Opinion[EB/OL]. [2020-11-01]. http://joannabriggs.org/research/Critical-appraisal-tools.html.
[16] 晏蓉,王慧文,李雪丹,等.颈椎前路术后患者吞咽困难管理的证据总结[J].护理学报, 2022, 29(4):40-45.DOI:10.16460/j.issn1008-9969.2022.04.040.
[17] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2017:31.
[18] Toyoda K, Koga M, Iguchi Y, et al.Guidelines for Intravenous Thrombolysis (Recombinant Tissue-type Plasminogen Activator), the Third Edition, March 2019: A Guideline from the Japan Stroke Society[J]. Neurol Med Chir, 2019,59(12):449-491. DOI:10.2176/nmc.st.2019-0177.
[19] Boulanger JM, Lindsay MP, Gubitz G, et al.Canadian Stroke Best Practice Recommendations for Acute Stroke Management: Prehospital, Emergency Department, and Acute Inpatient Stroke Care, 6th Edition, Update 2018[J]. Int J Stroke,2018, 13(9):949-984.DOI:10.1177/1747493018786616.
[20] Zhelev Z, Walker G, Henschke N, et al. Prehospital Stroke Scales as Screening Tools for Early Identification of Stroke and Transient Ischemic Attack(Review)[J].Cochrane Database of Systematic Reviews, 2019,4(4):CD011427. DOI:10.1002/14651858.CD011427.pub2.
[21] Huang Q, Zhang JZ, Xu WD, et al.Generalization of the Right Acute Stroke Promotive Strategies in Reducing Delays of Intravenous Thrombolysis for Acute Ischemic Stroke: A Meta-analysis[J].Medicine, 2018,97(25):e11205. DOI:10.1097/MD.0000000000011205.
[22] Wardlaw JM, Murray V, Berge E, et al. Thrombolysis for Acute Ischaemic Stroke (Review)[J]. Cochrane Database of Systematic Reviews, 2014(7):CD000213.DOI:10.1002/14651858.CD000213.pub3.
[23] 王亚玲,王冰寒,张艳,等.急性缺血性脑卒中患者溶栓术后预防出血转化的最佳证据总结[J].护理学报,2021,28(3):46-52.DOI:10.16460/j.issn1008-9969.2021.03.046.
[24] Ashcraft S, Wilson SE, Nyström KV, et al.Care of the Patient With Acute Ischemic Stroke (Prehospital and Acute Phase of Care): Update to the 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association[J]. Stroke, 2021,52(5):e164-e178. DOI:10.1161/STR.0000000000000356.
[25] 中国卒中学会科学声明专家组.急性缺血性卒中静脉溶栓中国卒中学会科学声明[J].中国卒中杂志,2017,12(3):267-284.DOI:10.3969/j.issn.1673-5765.2017.03.017.
[26] 中华医学会急诊医学分会卒中学组,中国卒中学会急救医学分会.急性脑梗死溶栓治疗急诊绿色通道构建专家共识[J].中华急诊医学志,2017,26(9):995-998. DOI:10.3760/cma.j.issn.1671-0282.2017.09.004.
[27] 李佳艳,谭秀革,陈奕菲,等.绿色通道联合静脉溶栓在老年缺血性卒中病人中的应用疗效及对DNT的影响[J].实用老年医学,2020, 34(5):454-457.DOI:10.3969/j.issn.1003-9198.2020.05.011.
[28] 常红,赵洁,王晓娟,等.急性缺血性脑卒中患者静脉溶栓后出血预警模型的构建[J].中华护理杂志, 2019, 54(11):1648-1652.DOI:10.3761/j.issn.0254-1769.2019.11.010.
[29] 吴娅,刘承春,李玮,等.5 种评分系统对不同时间窗急性脑梗死静脉溶栓后出血转化风险预测差异的比较研究[J].第三军医大学学报,2017,39(17):1744-1749.DOI:10.16016/j.1000-5404.201702008.
[30] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性脑梗死后出血转化诊治共识2019[J].中华神经科杂志,2019,52(4):252-265. DOI:10.3760/cma.j.issn.1006-7876.2019.04.003.
[31] Yaghi S, Willey JZ, Cucchiara B, et al.Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2017,48(12):e343-e361. DOI:10.1161/STR.0000000000000152.
[32] 张萍,张婷婷,于龙娟,等.卒中急救护士对急性缺血性卒中救治效率的影响[J].中国卒中杂志,2018,13(5):425-429.DOI:10.3969/j.issn.1673-5765.2018.05.004.
[33] 常红,杨莘,梁潇,等.缺血性脑卒中患者静脉溶栓院内流程优化研究[J].中国护理管理,2017,17(8):1081-1086. DOI:10.3969/j.issn.1672-1756.2017.08.018.
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