踝关节损伤术前肿胀管理的最佳证据总结OA
Best evidence summary of preoperative swelling management for ankle injury
目的 总结踝关节损伤术前肿胀管理的相关证据,为临床开展术前有效的肿胀管理提供可靠的循证依据.方法 系统检索国内外数据库中关于踝关节损伤术前肿胀管理的相关临床决策、推荐实践、指南、证据总结、专家共识、系统评价,检索时限为建库至 2025年7月.结果 纳入22篇文献,其中5篇临床决策,1篇最佳实践,4篇指南,7篇专家共识,5篇系统评价.汇总形成24条最佳证据,包括评估、冷疗、加压技术、负荷管理、复位及固定、药物干预、功能训练、并发症处理、患者教育9个方面.结论 本研究系统梳理国内外关于踝关节损伤术前肿胀管理的干预策略,为临床实践提供循证依据.建议医护人员结合临床情境,合理选用相关干预策略,通过实施标准化及系统化的评估、物理干预、功能保护、健康指导等措施,缩短患者术前肿胀缓解时间及术前手术等待时间.
Objective To summarize the evidence pertinent to preoperative swelling management of ankle injury,and to provide a reli-able evidence-based basis for effective preoperative swelling management in clinical practice.Methods We conducted a systematic search of domestic and international databases for clinical decisions,recommended practices,guidelines,evidence summaries,expert consensuses,and systematic reviews on preoperative swelling management of ankle injury.The retrieval time spanned from database in-ception to July 2025.Results A total of 22 articles were collected,including 5 clinical decisions,1 best practice,4 guidelines,7 ex-pert consensuses,and 5 systematic reviews.A total of 24 items of best evidence were summarized,covering 9 aspects of evaluation,cold therapy,compression technique,load management,reduction and fixation,drug intervention,functional training,complication treatment and patient education.Conclusion This study summarizes the best evidence for preoperative swelling management of an-kle injury at home and abroad,aiming to provide evidence-based support for optimizing the preoperative swelling management strategy of ankle injury.Medical staff can apply the best available evidence to clinical practice according to the clinical situation to shorten the preoperative swelling relief time and preoperative operation waiting time.
李璟;周小鸯;罗志萍;包凌燕;黄旭芳;黄淑明
温州医科大学附属第五医院 护理部,浙江 丽水 323000温州医科大学附属第五医院 护理部,浙江 丽水 323000温州医科大学附属第五医院 创伤外科,浙江 丽水 323000温州医科大学附属第五医院 创伤外科,浙江 丽水 323000温州医科大学附属第五医院 护理部,浙江 丽水 323000温州医科大学附属第五医院 创伤外科,浙江 丽水 323000
医药卫生
踝关节损伤肿胀术前护理最佳证据
ankle injuryswellingpreoperative nursingbest evidence
《护理学报》 2026 (10)
40-45,6
浙江省医药卫生项目(2025KY1935)
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