开腹肝切除术患者围手术期疼痛管理的证据总结

摘要/Abstract

摘要： 目的: 检索、评价和整合开腹肝切除术患者围手术期疼痛管理的证据,为临床护理实践提供参考。
方法: 系统检索国内外数据库中有关开腹肝切除术患者围手术期疼痛管理的临床决策、指南、证据总结、最佳实践、推荐实践、专家共识、系统评价及Meta分析。检索时限为建库至2023年8月,由3名研究者对文献进行方法学质量评价,并根据主题对证据进行提取和汇总。
结果: 最终获得18篇文献,其中临床决策1篇,指南4篇,专家共识3篇,证据总结2篇,系统评价8篇,文献整体质量较高。从团队建立、疼痛评估、疼痛计划、疼痛教育、预防性镇痛、多模式镇痛、动态评估方面形成31条最佳证据。
结论: 研究总结了开腹肝切除术患者围手术期疼痛管理的证据,为临床实践提供了参考依据,建议医护人员根据临床情景应用证据,以减轻患者术后疼痛。

关键词: 开腹肝切除术, 疼痛管理, 证据总结, 循证护理学

Abstract: Objective: To retrieve, evaluate, and integrate evidence of perioperative pain management in patients with open hepatectomy, and to provide references for clinical nursing practice.
Methods: Clinical decisions, guidelines, evidence summaries, best practices, recommended practices, expert consensus, systematic reviews, and meta-analyses related to perioperative pain management in patients with open hepatectomy were systematically searched from domestic and foreign databases. The search period is from the inception of the databases until August 2023. Three researchers assessed the quality of the literature and extracted and summarized evidence based on this topic.
Results: A total of 18 articles were included, including 1 clinical decision, 4 guidelines, 3 expert consensus, 2 evidence summaries, and 8 systematic reviews. A total of 31 pieces from 8 aspects of evidence were summarized, including team building, pain assessment, pain planning, pain education, preventive analgesia, multimodal analgesia, and dynamic evaluation.
Conclusion: This study summarizes the evidence for perioperative pain management in patients with open hepatectomy and provides a reference basis for clinical practice. Medical staff should take good nursing measures for pain management according to the clinical situation to reduce patients' postoperative pain.

Key words: Open hepatectomy, Pain management, Evidence summary, Evidence-based nursing

牛玉硕, 李翠翠, 王琳, 李亚君, 赵汝楠, 侯晓红. 开腹肝切除术患者围手术期疼痛管理的证据总结[J]. 肝癌电子杂志, 2025, 12(2): 30-36.

Niu Yushuo, Li Cuicui, Wang Lin, Li Yajun, Zhao Runan, Hou Xiaohong. Evidence summary for perioperative pain management in patients with open hepatectomy[J]. Electronic Journal of Liver Tumor, 2025, 12(2): 30-36.

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