重庆医学2026，Vol.55Issue(4)：897-904,8.DOI:10.3969/j.issn.1671-8348.2026.04.030
成人重型创伤性脑损伤患者院前急救护理的最佳证据总结
Evidence summary of best practices for pre-hospital emergency care in adult patients with severe traumatic brain injury
摘要
Abstract
Objective To summarize the best evidence for pre-hospital emergency care in adult patients with severe traumatic brain injury(sTBI)and to provide a basis for pre-hospital emergency practice.Methods Fol-lowing the 5S evidence resource pyramid model,researchers systematically retrieved evidence regarding pre-hospital emergency care for adult patients with sTBI from domestic and international clinical decision sys-tems,guideline networks,professional brain injury association websites,and databases.The retrieval period spanned from database inception to September 3,2025.Two researchers independently screened the literature,e-valuated quality,extracted evidence,and integrated and graded.Results Ultimately,13 publications were included,comprising 1 clinical decision-making study,1 evidence summary,4 guidelines,5 expert consensuses,and 2 systematic reviews.A total of 113 pieces of evidence on prehospital emergency care for sTBI patients were ex-tracted.These were summarized into 31 best practice pieces of evidence across 6 dimensions:policy guidelines,on-site assessment,on-site treatment,transport,in-hospital handover,and training.Conclusion Prehospital e-mergency personnel should integrate specific contexts,individual patient conditions,and professional judgment to apply evidence judiciously and flexibly,strengthen prehospital-to-hospital handover,thereby optimizing pre-hospital management of sTBI and laying the groundwork for subsequent treatment.关键词
重型创伤性脑损伤/院前急救/证据总结/循证护理Key words
severe traumatic brain injury/prehospital emergency care/evidence summary/evidence-based nursing分类
医药卫生引用本文复制引用
杨中善,娄渊博,樊落,王晓,樊凯盛,汪袁云子,张志刚,魏燕..成人重型创伤性脑损伤患者院前急救护理的最佳证据总结[J].重庆医学,2026,55(4):897-904,8.基金项目
兰州大学第一医院院内科研基金项目(ldyyyn2021-118). （ldyyyn2021-118）
