摘要
目的检索并总结脑出血患者血压管理的最佳证据,为脑出血患者的血压管理提供依据。方法采用PIPOST模型构建循证问题,以"intracerebral hemorrhage/cerebral hemorrhage/ICH/HICH/stroke"AND"blood pressure/hypertension"为英文检索词,以"脑出血/颅内出血/脑卒中"+"血压"为中文检索词检索美国指南网、UpToDate、Cochrane Library、中国知网、维普中文期刊服务平台、万方数据知识服务平台等国内外数据库及相关协会官方网站,由2名研究者独立对纳入的指南、系统评价、专家共识等进行质量评价并对文献进行证据提取。结果研究共纳入17篇文献,其中临床决策2篇,指南7篇,系统评价7篇,专家共识1篇。总结出最佳证据26条,包括降压时机与方法、降压获益与风险、药物选择及方式、脑卒中复发预防、注意事项等5个方面。结论积极的血压管理可以改善脑出血患者临床预后;在证据应用的过程中,要根据临床情景为患者制定合适的血压管理方案。
Objective To search and summarize the best evidence for blood pressure management in patients with intracerebral hemorrhage to provide evidence for blood pressure management in these patients.Methods PIPOST model was used to establish evidence-based questions;with"intracerebral hemorrhage/cerebral hemorrhage/ICH/HICH/stroke"AND"blood pressure/hypertension"as English search terms,and with"脑出血/颅内出血/脑卒中"+"血压"as Chinese search terms,the official websites of related associations and domestic and foreign databases,such as GUIDE.com,UpToDate,Cochrane Library,CNKI,VIP Chinese journal Service platform,and Wanfang Data Knowledge Service platform,were searched.Two researchers independently evaluated the quality of the literature,including guidelines,systematic reviews,and expert consensus,and extracted the evidence.Results A total of 17 articles were selected;2 were clinical decision type,7 were guideline type,7 were systematic review type,and 1 was expert consensus type.Twenty-six pieces of evidence were summarized into 5 aspects:timing and methods of lowering blood pressure,benefits and risks of lowering blood pressure,drug selection and selection methods,recurrence prevention of stroke,and matters for attention.Conclusion It is necessary to pay attention to blood pressure management in patients with intracerebral hemorrhage;in the process of evidence application,it's suggested to make an appropriate blood pressure management plan for the patients according to clinical situation.
作者
李佳
冯如芝
梁素娟
Li Jia;Feng Ruzhi;Liang Sujuan(School of Nursing,Southern Medical University,Guangzhou 510515,China;National Key Clinical Specialty,Engineering Technology Research Center of Education Ministry of China on Diagnosis and Treatment of Cerebrovascular Disease,Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration,Neurosurgery Institute of Guangdong Province,Department of Neurotrauma and Neurocritical Care Medicine,Neurosurgery Center,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2021年第10期1032-1038,共7页
Chinese Journal of Neuromedicine
关键词
脑出血
血压管理
证据总结
预后
Intracerebral hemorrhage
Blood pressure management
Evidence summary
Prognosis
