全科护理2026，Vol.24Issue(5)：827-832,6.DOI:10.12104/j.issn.1674-4748.2026.05.007
心血管植入型电子器械囊袋血肿预防及管理的最佳证据总结
Summary of the best evidence for the prevention and management of pocket hematoma in patients with cardiovascular implantable electronic devices
摘要
Abstract
Objective:To summarize the relevant evidence on the prevention and management of pocket hematoma in patients with cardiovascular implantable electronic devices(CIED)at home and abroad,and lay an evidence-based foundation for clinical practice.Methods:PIPOST framework was used to construct evidence-based questions,computer searches were conducted in databases and websites such as National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,BMJ Best Practice,the Joanna Briggs Institute(JB I)Evidence-Based Healthcare Center Database,UpToDate,the Cochrane Library,PubMed,and CNKI to retrieve literature related to the prevention and management of pocket hematoma in patients with CIED.The types of literature included clinical decisions,practice guidelines,evidence summaries,specialist consensus,and systematic reviews.The search period ranged from the establishment of the databases to March 22,2025.Two researchers trained in evidence-based nursing independently assessed the quality of the included researches,extracted data and integrated evidence.Results:A total of 23 articles were ultimately included,comprising 1 practice guideline,1 evidence summary,6 specialist consensus and 15 systematic reviews.The evidence was summarized into 22 recommendations across five aspects,anticoagulation management,pocket wound management,posture management,activity management of the surgical limb,and continuity of care.Conclusion:This study has collated the relevant evidence on the prevention and management of pouch hematoma in CIED patients.It suggests that healthcare providers should combine with the clinical situation and the patient's wishes to formulate scientific and standardized measures for the prevention and management of pouch hematoma in CIED patients,thereby reducing the occurrence of such hematomas.关键词
心血管植入型电子器械/囊袋血肿/证据总结Key words
cardiovascular implantable electronic devices/pocket hematoma/evidence summary引用本文复制引用
吴燕清,金婷,林淑兰,王莹莹,林碧霞..心血管植入型电子器械囊袋血肿预防及管理的最佳证据总结[J].全科护理,2026,24(5):827-832,6.基金项目
福建省临床重点专科建设项目,编号:闽卫医政函[2022]884号 （）
厦门市医疗卫生指导性项目,编号:3502Z20244ZD1240. （）
