证据综合与应用中华急危重症护理杂志2023年2月第4卷第2期缺血性脑卒中患者高血糖管理的最佳证据总结廖宗峰易巧利毛李烨李玲【摘要】目的检索并总结国内外缺血性脑卒中患者高血糖管理的最佳证据，为制订科学合理的高血糖管理方案提供参考。方法采用PIPOST模式构建循证问题，系统检索PubMed、Web of Science、Cochrane Library、UpTo-Date、BMJ Best Practice、国际指南网、加拿大安大略注册护士协会、英国国家临床医学研究所指南库、苏格兰院际指南网、美国内科医师协会、中国知网、万方数据库、医脉通中有关缺血性脑卒中患者高血糖管理的指南、最佳临床实践信息手册、证据总结、专家共识、系统评价及标准，检索时限为建库至2022年11月，由2名研究者对纳入文献质量进行独立评价，提取相关证据。结果共纳入12篇文献，包括指南7篇、系统评价2篇、专家共识2篇、证据总结1篇，总结26条最佳证据，包括入院评估与处理、院内血糖监测与管理、血糖控制目标、出院指导、非药物千预、药物干预6个方而。结论该研究总结了缺血性脑卒中惠者高血糖管理的最佳证据，可为临床医护人员临床实践提供参考。【关键词】缺血性卒中：高血糖症：证据总结：循证护理学Summary of best evidence for hyperglycemia management in patients with ischemic stroke/LIAOZongfeng,YI Qiaoli,MAO Liye,LI Ling[Abstract]Objective To summarize the best evidence of hyperglycemia management in ischemic stroke pa-tients for formulating a scientific and reasonable hyperglycemia management scheme.Methods According PlPOSTmodel to construct evidence-based questions,we systematically searched PubMed,Web of Science,Cochrane Li-brary,UpToDate,BMJ Best Practice,GIN,RANO,NICE,SIGN,ACP,CNKI,Wanfang Data,Medlive.cn on the evi-D0L:10.3761/.issn.2096-7446.2023.02.017基金项目：华中科技大学同济医学院附属同济医院科研基金(2021D03)作者单位：430000武汉市华中科技大学同济医学院附属同济医院神经内科（廖宗蜂，李玲），护理部（易巧利，毛李烨）】通信作者：李玲，E-mail:361543862@g啊.com廖宗蜂：男，颈士，主管护师，护士长，E-mail:892123557@q4.c0m2022-08-28收稿tion,burnout,and secondary traumatic stress among critical[24]Schroeder J,Sitzer V.Nursing care guidelines for reducingcare nurses in Iran[J].J Transcult Nurs,2020,31(1):59-66.hospital-acquired nasogastric tube-related pressure injuries[]][19]Aragio NSC,Barbosa GB,Santos CLC,et al.Bumout syndromeCrit Care Nurse,2019,39(6):54-63.and associated factors in intensive care unit nurses[J].Rev[25]Sharma SK,Nuttall C,Kalyani V,et al.Clinical nursing eareBras Enferm,2021,74(suppl3):e20190535.guidance for management of patient with COVID-19[].J Pak[20]Mari M,Alloubani A,Alzaatreh M,et al.International nursing:MedA0e,2020,70(Sppl3)(5):S118-S123.job satisfaction among critical care nurses in a govemmental[26]Traube C,Silver G,Gerber LM,et al.Delirium and mortalityhospital in Saudi Arabia[J].Nurs Adm Q,2018,42(3):E1-E9.in critically ill children:epidemiology and outcomes of pedi-[21]Gordon JM,Magbee T,Yoder LH.The experiences of criticalatrie delirium[J].Crit Care Med,2017,45(5):891-898.care nurses caring for patients with COVID-19 during the[27]徐婷婷，张伟英，周如女.儿童谵妄早期识别及护理干预的研2020 pandemic a qualitative study [J].Appl Nurs Res,2021,究进展[J].中华护理杂志，2020,55(8)：1170-1174.59:151418.Xu TT,Zhang WY,Zhou RN.Research progress on eady[22]Zhang XN,Meng K,Chen S.Competency framework for spe-recognition and nursing intervention of delirium in childrencialist critical care nurses:a modified Delphi study[J].Nurs Crit[J].Chin J Nurs,2020,55(8):1170-1174.Ce,2020,25(1):45-52.[28]Rohlik GM,Fryer KR,Tripathi S,et al.Overcoming bariers to[23]Tartavoulle T,Fowler L.Cardiogenic shock in the septie pa-delirium screening in the pediatric intensive care unit [J].tient;eary identification and evidence-based management [Crit Care Nurse,2
