小儿经消化道急性中毒洗胃技术的证据总结

doi:10.3760/cma.j.cn441417-20250310-15028

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (15): 2605-2610.DOI: 10.3760/cma.j.cn441417-20250310-15028

小儿经消化道急性中毒洗胃技术的证据总结

吴婵凤¹ 王晓琴¹ 曾秋红¹ 潘惠仪¹ 陈昊² 徐文婷² 凌冬兰²

¹广东省妇幼保健院急诊科，广州 510010；²广州医科大学附属第二医院护理部，广州 510260

收稿日期:2025-03-10 出版日期:2025-08-01 发布日期:2025-08-26
通讯作者: 凌冬兰，Email：lingdonglan@gzhmu.edu.cn
基金资助:
广东省医学科研基金（C2021027）

Summary of evidence on gastric lavage techniques for acute poisoning in children through the digestive tract

Wu Chanfeng¹, Wang Xiaoqin¹, Zeng Qiuhong¹, Pan Huiyi¹, Chen Hao², Xu Wenting², Ling Donglan²

¹Department of Emergency, Guangdong Women and Children Hospital, Guangzhou 510010, China; ²Department of Nursing, The Second Affiliated hospital of Guangzhou Medical University, Guangzhou 510260, China

Received:2025-03-10 Online:2025-08-01 Published:2025-08-26
Contact: Ling Donglan, Email: lingdonglan@gzhmu.edu.cn
Supported by:
Guangdong Province Medical Research Fund (C2021027)

摘要/Abstract

摘要：

目的　检索、评价和整合小儿经消化道急性中毒洗胃技术的相关证据，为急诊医护人员临床实践提供参考依据。方法　采用PIPOST模式构建临床问题，遵循“6S”证据模型自上而下检索国内外数据库及相关专业网站中自建库至2024年2月5日关于小儿经消化道急性中毒洗胃技术操作的临床决策、最佳实践信息册、证据总结、指南、行业标准、专家共识、系统评价。由2名研究者独立完成文献质量评价后，研究团队成员根据主题对证据进行提取与综合。结果　共检索文献1 327篇，最后纳入文献6篇，其中指南2篇、临床决策3篇、专家共识1篇。证据归类后分为4个主题：洗胃前评估和处置、胃管选择、洗胃时操作要点、洗胃的健康教育，共总结证据27条。结论　医护人员应结合临床情境选择相应证据运用于小儿洗胃操作中，保障小儿洗胃安全，减少相关并发症的发生。

关键词:

font-size:9pt, ">急性中毒；font-size:9pt, ">儿童；font-size:9pt, ">洗胃；font-size:9pt, ">证据总结；font-size:9pt, ">循证护理font-size:10.5pt, ">

Abstract:

Objective　Search, evaluate and integrate the relevant evidence on the gastric lavage techniques for acute poisoning in children through the digestive tract, in order to provide reference materials for the clinical practice of emergency medical staff. Methods　Clinical questions were constructed using the PIPOST model, and the "6S" evidence model was followed to conduct a top-down search of domestic and foreign databases and related professional websites from the establishment of the database to February 5, 2024, for clinical decisions, best practices, evidence summaries, guidelines, industry standards, expert consensus, and systematic reviews regarding the operation of gastric lavage techniques for acute poisoning in children through the digestive tract. After the literature quality was independently evaluated by two researchers, the members of the research team extracted and synthesized the evidence based on the themes. Results　A total of 1 327 documents were retrieved, and finally 6 documents were included, among which 2 were guidelines, 3 were clinical decisions, and 1 was an expert consensus. After classification, the evidence was divided into 4 themes: preoperative assessment and management for gastric lavage, selection of gastric tube, key points for gastric lavage operation, and health education on gastric lavage. A total of 27 pieces of evidence were summarized. Conclusion　Medical staff should select appropriate evidence based on the clinical situation and apply it in the process of pediatric gastric lavage to ensure the safety of the procedure and reduce the occurrence of related complications.

Key words:

font-family:Calibri, font-size:10.5pt, "> font-size:9pt, ">Acute poisoning；Children；Gastric lavage；Evidence summary；Evidence-based nursing

吴婵凤王晓琴曾秋红潘惠仪陈昊徐文婷凌冬兰.

小儿经消化道急性中毒洗胃技术的证据总结 [J]. 国际医药卫生导报, 2025, 31(15): 2605-2610.

Wu Chanfeng, Wang Xiaoqin, Zeng Qiuhong, Pan Huiyi, Chen Hao, Xu Wenting, Ling Donglan.

Summary of evidence on gastric lavage techniques for acute poisoning in children through the digestive tract [J]. International Medicine and Health Guidance News, 2025, 31(15): 2605-2610.

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小儿经消化道急性中毒洗胃技术的证据总结

Summary of evidence on gastric lavage techniques for acute poisoning in children through the digestive tract

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