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局部枸橼酸抗凝在连续性肾脏替代治疗中的应用及管理的最佳证据总结

杨建国 何细飞 鄢建军 张梦 杨纯子 徐蓉 王艳芳

护理学报2024,Vol.31Issue(4):48-53,6.
护理学报2024,Vol.31Issue(4):48-53,6.DOI:10.16460/j.issn1008-9969.2024.04.048

局部枸橼酸抗凝在连续性肾脏替代治疗中的应用及管理的最佳证据总结

Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy

杨建国 1何细飞 2鄢建军 1张梦 2杨纯子 3徐蓉 3王艳芳4

作者信息

  • 1. 华中科技大学同济医学院附属同济医院 血液净化中心,湖北 武汉 430030
  • 2. 华中科技大学同济医学院附属同济医院 内科教研室,湖北 武汉 430030
  • 3. 华中科技大学同济医学院附属同济医院 护理部,湖北 武汉 430030
  • 4. 南方医院JBI循证护理合作中心,广东 广州 510515
  • 折叠

摘要

Abstract

Objective To summarize the best evidence for the clinical application and management of regional citrate anticoagulation in continuous renal replacement therapy(RCA-CRRT).Methods Relevant guideline websites,databases and academic websites were systematically searched for the literature related to RCA-CRRT.Evidence extraction and integration from eligible literature was performed.Results Eighteen articles were included,including 3 evidence synthesis,1 clinical decision,2 clinical guidelines,2 expert consensuses and 10 systematic reviews.Finally,40 pieces of best evidence were formed from 6 aspects:scope of application,protocol development,parameter setting,process monitoring,catheter maintenance,and quality control.Conclusion To provide high-quality care for patients when conducting RCA-CRRT,personalized treatment plans and close monitoring of the treatment and coagulation can be developed by referring to the best evidence.

关键词

局部枸橼酸抗凝/连续性肾脏替代治疗/证据总结/循证护理

Key words

regional citrate anticoagulation/continuous renal replacement therapy/evidence summary/evidence-based nursing

分类

医药卫生

引用本文复制引用

杨建国,何细飞,鄢建军,张梦,杨纯子,徐蓉,王艳芳..局部枸橼酸抗凝在连续性肾脏替代治疗中的应用及管理的最佳证据总结[J].护理学报,2024,31(4):48-53,6.

护理学报

OACSTPCD

2097-6569

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