孕产妇孕产期静脉血栓栓塞风险评估的最佳证据总结

目的 获取国内外孕产妇孕产期相关静脉血栓风险评估的最佳证据,为构建评估工具提供参考依据.方法 应用循证医学的方法,通过计算机检索Up To Data、BMJ、Cochrane Library、JBI、GIN、NCG、NICE、CMA、RNAO、PubMed、Embase、中国知网、万方数据库、中国生物医学数据库,选取符...

Best Evidence Summary of Risk Assessment of Venous Thromboembolism during Pregnancy and Puerperium

Objective To search the best evidence of risk assessment of venous thrombosis during pregnancy and puerperium at home and abroad, and to provide reference for the construction of assessment tool. Methods We searched databases including Up to Data, BMJ, Cochrane Library, JBI, GIN, NCG, NICE, CMA, RNAO, PubMed, Embase, CNKI, Wanfang database and China biomedical database by computer for literature meeting the inclusion criteria. Two researchers conducted independent quality evaluation, evidence extraction and summary of the literature. Results Twelve articles were enrolled, including 6 clinical practice guidelines, 1 advanced clinical decision and 5 systematic reviews. A total of 26 pieces of best evidence were integrated into 4 domains: previous factors (9 pieces of evidence), pregnancy-related factors (4 pieces of evidence) postpartum factors (7 pieces of evidence) and temporary factors (6 pieces of evidence). Conclusion The individualized risk assessment of venous thromboembolism in pregnant and puerperal women plays an important role in the prevention of pregnant and puerperal related thrombosis and provides evidence-based basis for clinical workers.