中华急危重症护理杂志2023年3月第4卷第3期证据综合与应用食管癌术后患者早期经口进食管理的最佳证据总结贺红冯华丽徐彩娟陈亚红徐珏华胡妮佳景玲玲张玉萍郑欣欣【摘要】目的检索并总结食管癌术后惠者早期经口进食管理的最佳证据。方法按服循证“6S”检索证据摸型，检索UpToDate、BMJ Best Practice、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、英国国家卫生与临床优化研究所、中国知网、万方数据库、中国生物医学文献数据库等数据库及相关网站中有关食管癌术后患者早期经口进食的所有证据，包括临床决策、指南、系航评价、Ma分析、专家共识、证据总结及随机对照试验。检索时限为建库至2022年5月。由2名接受过循证护理系统培训的研究者独立完成文献质量评价，并结合专业人员判断，对符合质量标准的证据进行提取和汇总。结果最终纳入14篇文献，包括临床决策2篇、指南4篇、专家共识3篇、系统评价1篇、随机对照试验4篇。从早期经口进食时机选择、吞咽功能评估、进食方案制订、风险识别及预防4个方面汇总24条最佳证据。结论食管癌术后患者早期经口进食安全可行。护理人页应结合临床情景、应用证据的促进因素和阻碍因素、惑者意愿选择最佳证据，为临床提供科学、有循证依据的食管癌术后患者早期经口进食管理方案，从而加速患者术后康复，减少并发症，缩短住院时间。【关键词】食管肿编；早期经口进食；手术后医护；加速康复外科；循证护理学Summary of the best evidence for the management of early oral feeding in postoperative patients withesophageal cancer/HE Hong,FENG Huali,XU Caijuan,CHEN Yahong,XU Juehua,HU Nijia,JING Lingling,ZHANG Yuping,ZHENG Xinxin[Abstract]Objective To retrieve and summarize the relevant evidence of early oral feeding management in pa-tients with esophageal cancer after surgery.Methods According to the evidence-based "6S"model to retrieve theevidence,we searched all the evidence about the management of early oral feeding in postoperative patients withesophageal cancer in UpToDate,BMJ Best Clinical Practice,Australia's Joanna Briggs Institute Evidence-based Prac-tice Database,National Institute for Health and Care Excellence,CNKI,Wanfang Database,China Biomedical Litera-ture Database and related websites or databases,including clinical decisions,guidelines,systematic reviews,meta-analysis,expert consensuses,evidence summaries,and randomized controlled trials.The retrieval time limit was fromthe establishment of the database to May 2022.The quality of the literature was evaluated independently by tworesearchers who had received systematic evidence-based nursing training,and the evidence meeting the qualityD0I:10.3761 jissn.2096-7446.2023.03.016基金项目：浙江省卫生健康科技计划青年创新人才项目(2022RC171)作者单位：310009杭州市浙江大学医学院附属第二医院胸外科（贺红，胡妮佳），护理部（冯华丽，徐彩娟，张玉萍，郑欣欣），肝胆胰外科二病区（陈亚红），肝胆胰外科五病区（徐珏华），泌尿外科（景玲玲）贺红：女，本科，主管护师，护士长，E-il:zh@zju.ed加cn2022-11-07收稿[30]Stern Y.Cognitive reserve in ageing and Alzheimer's diseasecognitive function in patients with single subcortical lesion[J].Lancet Neurol,2012,11(11):1006-1012.stroke of four different areas[J].Natl Med J China,2011,91[31]许琼冠.不同部位损伤对颅脑外伤病人认知功能的影响[J].(27):19041908.安微医药，2019,23(3)：540542.[33]Plaschke K,Hauth S,Jansen C,et al.The influence of preop-Xu QG.Effects of different parts injury on cognitive functionerative serum antichdlinergic activity and other risk factorsin patients with craniocerebral trauma[J].Anhui Med Pham J,for the development of postoperative cognitive dysfunction af-2019,23(3):540-542.ter candiac surgery[J].J Thorac Cardiovase Surg,2013,145(3):[32]龚文草，丁美萍，郭起浩，等.四种不同脑部位卒中后认知功能805-811.状况比较[J].中华医学杂志，2011,91(27)：1904-1908.Gong WP,Ding MP,Guo QH,et al.A comparison study on(本文编辑武瑞)Chin J Emerg Crit Care Nurs,March 2023,Vol.4,No.3 239(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
