髋膝关节置换术围术期静脉血栓栓塞症预防的最佳证据总结

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AbstractObjective:Toretrieve,evaluateandsummarizethebestevidencefor thepreventive measuresofvenous thromboembolism, VTEinpatientsundergoinghipandknarthroplastyduringtheperioperativeperodandtoprovideeferenceforclinicalpactice. Methods:ArticlesonthepreventionofVTEduringtheperioperativeperiodofipandkneearthroplastywereretrievedfrom UpToDate、 BMJ Best Practice、GIN、NICE、ACCP、AAOS、ASH、ESA、the Cochrane Library、PubMed、Web of Science、EMbase、 CBM、CNKI、VIP、WanFang Database,etc.Thesearch period wasfrom theestablishmentof thedatabasetoMarch 22,2023.The qualityoftheguidelineswasindependentlyevaluatedby4researchers,andthequalityoftheexpertconsensuswasindependently evaluatedby2researchers.EvidencewasextractedandthebestevidencewasintegratedResults:Atotalof4articleswereincluded, including7guideliesand7expertconsensations.Twenty-twobestpiecesofevidenceweresummarizedfromsixaspects:riskaesment andscreening,iskfactors,basicprevention,mechanicalprevention,drugprevention,andhealtheducation.Conclusions:Thebest evidencesummarizedinthisstudycanprovidereferenceformedicalstaftoformulateVTEpreventionplansforpatientsundergoinghip andkneearthoplastyringtepriopeatieprd,adardciicalEpevetionmeasuresndterebyduceteidef VTE in patients undergoing hip and knee arthroplasty during the perioperative period.

Keywordstotalhiparthroplasty;totalkneearthroplasty;venousthromboembolism;perioperativeperiod;summaryofevidence; evidence-based nursing

摘要目的:检索、评价并总结髋膝关节置换术病人围术期静脉血栓栓塞症(VTE)预防措施的最佳证据,为临床实践提供参考。(剩余10057字)

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