摘要
重症肌无力是神经肌肉接头传递障碍的获得性自身免疫性疾病,胸腺切除手术是治疗乙酰胆碱受体抗体阳性重症肌无力的方法之一。围术期的护理质量直接关系到手术安全与患者预后。然而,目前国内外尚缺乏专门针对此类患者的护理共识或指南。为促进重症肌无力胸腺切除围术期护理的标准化和规范化发展,保障患者的治疗效果,结合循证医学证据和临床实践经验,组织相关领域的57位专家,采用德尔菲法经过两轮专家函询,从病情评估、营养支持、用药护理、气道管理等方面进行讨论并达成共识,最终形成18条推荐意见。旨在为重症肌无力胸腺切除围术期患者的护理提供科学、规范的依据。
Myasthenia gravis is an autoimmune disorder characterized by impaired neuromuscular transmission.Thymectomy is one of the therapeutic options for acetylcholine receptor antibody-positive myasthenia gravis patients.The quality of perioperative care is directly associated with surgical safety and patient outcomes.However,there is currently a lack of specialized nursing consensus or guidelines specifically addressing the care of these patients domestically or internationally.To promote the standardization and normalization of perioperative nursing care for myasthenia gravis patients undergoing thymectomy and to ensure treatment efficacy,a panel of 57 experts from relevant fields was convened.Based on evidence-based medicine and clinical practice experience,discussions were held on various aspects including condition assessment,nutritional support,medication management,and airway care,resulting in a consensus with 18 final recommendations by using the Delphi method through two rounds of expert consultation.This consensus aims to provide a scientific reference for the perioperative nursing care of myasthenia gravis patients undergoing thymectomy.
作者
董会民
周婷
钟迎梅
李伟
李小燕
张春芳
乞国艳
柳阳春
中国重症肌无力联盟
中国抗癌协会胸腺肿瘤整合康复专委会
海峡两岸医药卫生交流协会胸外科专委会重症肌无力学组共识编写专家组
陈付红
张娜
殷慧敏
苏艳红
康颖
DONG Huimin;ZHOU Ting;ZHONG Yingmei;LI Wei;LI Xiaoyan;ZHANG Chunfang;QI Guoyan;LIU Yangchun;Myasthenia Gravis Union of China;Committee of Integrated Rehabilitation for Thymic Tumors of China Anti-Cancer Association;Myasthenia Gravis Group of the Thoracic Surgery Committee of the Cross-Strait Medical and Health Exchange Association-Consensus Drafting Expert Panel(Myasthenia Gravis Diagnosis and Treatment Center,Shijiazhuang People's Hospital,Shijiazhuang,050000,P.R.China;Department of Thoracic Surgery,Beijing Hospital,National Center of Gerontology,Beijing,100730,P.R.China;Department of Thoracic Surgery,Jiangxi Provincial People's Hospital,Nanchang,330000,P.R.China;Department of Thoracic Surgery,Union Hospital Affiliated to Fujian Medical University,Fuzhou,350000,P.R.China;Department of Thoracic Surgery,Xiangya Hospital of Central South University,Changsha,410000,P.R.China;不详)
出处
《中国胸心血管外科临床杂志》
北大核心
2026年第1期1-12,共12页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
国家自然科学基金项目(82274582)
中央引导地方科技发展资金项目(科技创新基地项目)(246Z7706G)
石家庄市后补助奖励专项资金项目(重点实验室建设补助资金)(236790017h)
石家庄市科学技术研究与发展指导计划(231201013)。
关键词
重症肌无力
胸腺切除术
围术期护理
营养支持
气道管理
专家共识
Myasthenia gravis
thymectomy
perioperative nursing care
nutritional support
airway management
expert consensus
