弹力袜在围术期静脉血栓栓塞症防治中的最佳证据总结

目的 检索并整合弹力袜在围术期静脉血栓栓塞症防治中的最佳证据,为临床实践提供依据。方法 根据“6 S”证据模型,系统检索国内外中英文数据库及指南网,对符合纳入标准的文献由2名研究者分别进行质量评价,并结合专业判断完成证据的提取及汇总。结果 共纳入9篇文献,包括2篇指南,1篇专家共识,4篇推荐实践,1篇证据总结,1篇系统评价。通过对证据的汇总,最终分别从适应证、禁忌证、压力选择、长度选择、尺寸测量、穿着时机、评估与观察7个方面形成了24条最佳证据。结论 总结了弹力袜在围术期静脉血栓栓塞症防治中的最佳证据,为医护人员的临床决策提供了依据,实践过程中应结合患者意愿、临床实际有针对性的进行证据选择。

Best Evidence Summary for Role of Compression Stockings in Prevention and Treatment of Perioperative Venous Thromboembolism

Objective To retrieve and integrate the available evidence of role of compression stockings in the prevention and treatment of perioperative venous thromboembolism and to provide reference for clinical practice. Methods With the 6S hierarchy of evidence-based resources, the databases and guideline websites were systematically searched, then the quality of the literature that met the inclusion criteria was evaluated by two researchers independently, and the evidence was extracted and summarized based on professional judgment. Results Nine articles were included, including 2 guidelines, 1 expert consensus, 4 best practices, 1 evidence summary, and 1 systematic review. Twenty-four pieces of best evidence were summarized from 7 aspects including indications, contraindications, pressure selection, length selection, size measurement, timing of wearing, and evaluation and observation. Conclusion Best evidence summary of role of compression stockings in the prevention and treatment of perioperative venous thromboembolism provides reference for decision-making for medical staff. It is necessary to select the evidence according to clinical practice and patients' wishes.