卵巢癌腹腔热灌注化疗患者体温管理的最佳证据总结
作者:
作者单位:

作者简介:

女,硕士,护士

通讯作者:

基金项目:

国家卫生健康委医院管理研究所医院药学高质量发展研究项目(NIHAYSZX2544)


Best evidence summary for temperature management in patients with ovarian cancer treated with peritoneal heat infusion chemotherapy
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 筛查国内外卵巢癌腹腔热灌注化疗患者体温管理的相关证据并进行分级,以期为临床医护人员科学实施腹腔热灌注体温管理提供参考。方法 使用计算机检索国内外相关医学网站、临床决策系统和中国知网、万方数据知识服务平台、SinoMed、PubMed、Wed of Science等国内外数据库中关于卵巢癌腹腔热灌注化疗患者体温管理的所有证据,检索时间为2015年6月至2025年6月。由2名研究者进行文献筛选、质量评价、证据提取和汇总。结果 最终共纳入15篇文献,其中包括1篇临床决策、2篇指南、5篇专家共识、1篇系统评价、2篇队列研究、1篇病例对照研究、1篇病例报告和2篇随机对照试验 。最终汇总为术前评估、精准控温、术中监测与体液管理、降温措施和并发症预防5个主题的20条最佳证据。结论 卵巢癌腹腔热灌注化疗患者体温管理的最佳证据可为预防热灌注过程中的并发症提供指导。临床医护人员需结合临床实际情况和患者意愿,针对性地选择和使用证据,保障患者治疗安全。

    Abstract:

    Objective To identify and grade domestic and international evidence on temperature management for ovarian cancer patients undergoing hyperthermic intraperitoneal chemotherapy (HIPEC), providing a reference for clinicians and nurses to implement evidence based temperature management.Methods Computerized searches were conducted across clinical decision systems, professional websites, and databases including CNKI, Wanfang Data, SinoMed, PubMed, and Web of Science for evidence on temperature management in ovarian cancer patients receiving HIPEC from June 2015 to June 2025.Two researchers performed literature screening, quality appraisal, evidence extraction, and synthesis.Results A total of 15 papers were finally included, including 1 clinical decision report, 2 guidelines, 5 expert consensus reports, 1 systematic review, 2 cohort studies, 1 case-control study, 1 case report and 2 RCTs.Twenty pieces of best evidence were finally synthesized across five themes: preoperative assessment, precise temperature control, intraoperative monitoring and fluid management, cooling measures, and prevention of complications.Conclusion The summarized best evidence for temperature management during HIPEC in ovarian cancer patients can guide prevention of HIPEC related complications.Clinical staff should integrate this evidence with individual patient circumstances and prefe-rences to select and apply interventions that ensure treatment safety.

    参考文献
    相似文献
    引证文献
引用本文

余梦华,王静,石凡.卵巢癌腹腔热灌注化疗患者体温管理的最佳证据总结[J].护理学杂志,2025,(23):55-60

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2025-07-15
  • 最后修改日期:2025-09-08
  • 录用日期:
  • 在线发布日期: 2026-01-14