胰源性糖尿病早期筛查及血糖管理的最佳证据总结
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女,硕士在读,护师

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江苏省研究生实践创新计划项目(SJCX24_0851);南京鼓楼医院护理科研项目(2024-B301)


Summary of the best evidence on early screening and glycemic management of pancreatogenic (Type 3c) diabetes
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    摘要:

    目的 检索并总结胰源性糖尿病早期筛查及血糖管理的相关证据,为提高胰源性糖尿病检出率及有效血糖管理提供指引。方法 计算机检索国内外数据库、指南网、专业协会网站有关胰源性糖尿病早期筛查及血糖管理文献,检索时限为建库至2024年5月31日。对纳入文献进行质量评价、证据提取和汇总。结果 共纳入18篇文献,其中临床指南4篇、专家共识2篇、证据总结1篇、系统评价3篇、队列研究7篇、病例对照研究1篇。形成早期筛查目的、早期筛查方法、血糖控制目标、血糖管理策略4个方面共15个条目的最佳证据。结论 胰源性糖尿病患者早期筛查及血糖管理的最佳证据可为医护人员实施早期筛查及血糖管理提供指引,在证据转化和应用过程中应结合临床情境,充分评估每条证据的适宜性和可行性。

    Abstract:

    Objective To search and summarize the evidence relating to early screening and glycemic management of pancreatogenic diabetes, and to provide a guide for detection and effective management of pancreatogenic diabetes.Methods A systematic literature search was performed to identify relevant literature on screening and glycemic management of pancreatogenic diabetes across va-rious bibliometric databases, guideline websites, and websites of professional organizations and societies.The search time frame was from the inception of the database to May 31, 2024.Quality of the eligible literature was evaluated and evidence was extracted.Results Eighteen publications were included, involving 4 guidelines, 2 expert consensus statements, 1 evidence summary, 3 systematic reviews, 7 cohort studies and 1 case-control study.A total of 15 pieces of best evidence were summarized, covering 4 aspects:the purpose of screening, screening methods, glycemic control target, and glycemic management strategies.Conclusion The best evidence for early screening and glycemic management of pancreatogenic diabetes can provide a guide for medical staff.Howe-ver, the appropriateness and feasibility of each piece of evidence should be assessed by considering clinical situations before evidence translation into practice.

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田恬,吴兆荣,李雯,王静,陈婷,王倩.胰源性糖尿病早期筛查及血糖管理的最佳证据总结[J].护理学杂志,2024,39(23):18-23

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  • 收稿日期:2024-07-28
  • 最后修改日期:2024-09-30
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  • 在线发布日期: 2025-01-09