要检索,分析,并系统地提取腹腔镜手术患者皮下气肿的相关证据,并为降低其发病率提供循证建议。通过浏览国家健康与临床卓越研究所的网站,国际准则合作网络,美国国家指南图书馆,安大略省注册护士协会,苏格兰校际指导网络,加拿大医学协会的临床实践指南网站,UpToDate,WebofScience,PubMed,OVID,科克伦图书馆,Embase,中国生物医学数据库,CNKI,VIP,和万方数据库,相关文献,指导方针,系统评价,证据摘要,专家共识,随机对照试验,等。对接受腹腔镜手术患者的皮下气肿进行了检索。所有搜索仅限于2010年1月1日至2023年8月1日之间发表的文章。共识别2245篇文章,在排除不符合标准的文献后,纳入了10篇文章,包括3篇临床决策文章,2审查文件,5项随机对照试验。从影响因素、影响因素、预防,气腹的建立和管理,术中监测,和干预方法,总结了15件最佳证据。临床人员应转变并应用循证实践,以降低皮下气肿的发生率,提高患者的生活质量。
To retrieve, analyze, and extract evidence related to subcutaneous emphysema in patients undergoing laparoscopic surgery systematically, and provide evidence-based recommendations for reducing its incidence. By browsing the websites of the National Institute for Health and Clinical Excellence, the International Guideline Collaboration Network, the National Guideline Library of the United States, the Registered Nurses Association of Ontario, the Scottish Intercollegiate Guideline Network, the Clinical Practice Guidelines website of the Canadian Medical Association, UpToDate, Web of Science, PubMed, OVID, Cochrane Library, Embase, Chinese Biomedical Database, CNKI, VIP, and Wanfang Database, relevant literatures, guidelines, systematic reviews, evidence summaries, expert consensus, randomized controlled trials, etc. about subcutaneous emphysema in patients undergoing laparoscopic surgery were retrieved. All searches were limited to articles published between 1st January 2010 to 1st August 2023. 2245 articles were identified in total, 10 articles were included after exclude literature that does not meet the standards, including 3 clinical decision-making articles, 2 review papers, and 5 randomized controlled trials. Evidence summarization was conducted from 5 aspects: influencing factors, prevention, establishment and management of pneumoperitoneum, intraoperative monitoring, and intervention methods, 15 pieces of best evidences were summarized. Clinical staffs should transform and apply the evidence-based practices to decrease the incidence of subcutaneous emphysema and enhance the quality of life for patients.