脊柱結(jié)核病人術(shù)后傷口感染管理的最佳證據(jù)總結(jié)

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Summary of best evidence for postoperative wound infection management in patients with spinal tuberculosis

YUAN Shuyi，TANG Lulu，LIU Xiaotong，F(xiàn)ENG Jiayi，XIA TongxiaNursing School of Zunyi Medical University，Guizhou 563000 ChinaCorresponding Author XIA Tongxia，E-mail：xtx0925@163.com

Abstract Objective：To search，evaluate and integrate the best evidence of postoperative wound infection management in patients with spinal tuberculosis（STB），in order to provide reliable evidence-based evidence for the development of scientific and effective postoperative wound infection management programs in patients with STB.Methods：The best evidence on postoperative wound infection management of STB patients was retrieved from domestic and foreign evidence-based resource databases and related professional websites.The search period was from database establishment to August 31，2023.Two researchers conducted independent evaluation，evidence extraction and integration of the literature.Results：A total of 13 articles were included，including 6 guidelines，5 expert consensus，1 systematic review，and 1 randomized controlled trial.There were 7 categories of risk factor assessment，wound assessment，incision management，drug management，nutrition management，exercise and evaluation indicators，and 31 best evidences of wound infection management in STB patients were summarized.Conclusion：This study summarizes the best evidence of postoperative wound infection management in STB patients. Medical staff should use the best evidence according to the actual situation to guide STB patients to safely and effectively restore body function and improve quality of life after surgery.

Keywords  spinal tuberculosis;wound management;prevention of infection;evidence-based nursing;summary of evidence

摘要 目的：檢索、評(píng)價(jià)并整合脊柱結(jié)核病人術(shù)后傷口感染管理的最佳證據(jù)，為制定科學(xué)、有效的脊柱結(jié)核病人術(shù)后傷口感染管理方案提供可靠的循證依據(jù)。（剩余12278字）