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毛发移植患者围手术期管理实践的最佳证据总结:面部骨骼

Summary of Best Evidence for Perioperative Management Practices in Hair Transplantation Patients : Facial Skeleton.

作者信息

Huang Jingjing, Peng Yangyao, Zhou Wei, Chen Danyang, Guo Liang, Guo Jia

机构信息

Department of Plastic Surgery, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan, Hubei Province, People's Republic of China.

Department of Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan, Hubei Province, People's Republic of China.

出版信息

Aesthetic Plast Surg. 2024 Dec;48(23):4791-4804. doi: 10.1007/s00266-024-04360-z. Epub 2024 Oct 8.

Abstract

AIM

To integrate and summarize the best evidence on perioperative management practices for hair transplantation patients, providing an evidence-based reference for clinical.

METHODS

An exhaustive literature search was conducted to identify the best evidence for managing patients undergoing hair transplantation during the perioperative period. The databases searched included Up To Date, BMJ Best Practice, UK National Institute for Health and Care Excellence, National Guideline Clearing House, Scottish Intercollegiate Guidelines Network, Guidelines International Network, Cochrane Library, JBI Database of Systematic Reviews and Implementation Reports, PubMed, Web of Science, European Dermatology Forum, China National Knowledge Infrastructure, Wanfang Data, Medlive Guideline Network, and Sinomed. The search spanned publications from February 2013 to February 2024, focusing on clinical decisions, evidence summaries, guidelines, and expert consensus.

RESULTS

We finally identified 22 articles with high-quality results (consisting of 9 clinical decisions, 6 guidelines, 7 expert consensuses), providing 41 pieces of evidence across seven categories: assessment of transplantation conditions, transplant planning and preoperative preparation, anesthetic preparations, surgical methods and operation skills, postoperative wound management, medication-related guidance, optimization of nursing and treatment strategies. Special emphasis has been placed on the sections covering anesthesia preparation, surgical methods, and operational techniques, with detailed explanations provided.

CONCLUSION

The summarized best evidence on perioperative management practices for hair transplantation patients can serve as evidence-based guidelines for clinical. It is recommended that clinical staff adopt evidence-based recommendations to improve and optimize patient outcomes and promote postoperative recovery. As these evidences came from different countries, factors such as the clinical environment should be evaluated before application.

LEVEL OF EVIDENCE V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

目的

整合并总结毛发移植患者围手术期管理实践的最佳证据,为临床提供循证参考。

方法

进行全面的文献检索,以确定毛发移植患者围手术期管理的最佳证据。检索的数据库包括Up To Date、BMJ最佳实践、英国国家卫生与临床优化研究所、国家指南资料库、苏格兰校际指南网络、指南国际网络、Cochrane图书馆、JBI系统评价与实施报告数据库、PubMed、科学网、欧洲皮肤病学论坛、中国知网、万方数据、医脉通指南网和中国生物医学文献数据库。检索范围涵盖2013年2月至2024年2月的出版物,重点关注临床决策、证据总结、指南和专家共识。

结果

最终确定了22篇高质量结果的文章(包括9项临床决策、6项指南、7项专家共识),提供了七大类41条证据:移植条件评估、移植规划与术前准备、麻醉准备、手术方法与操作技巧、术后伤口管理、药物相关指导、护理与治疗策略优化。特别强调了麻醉准备、手术方法和操作技术部分,并提供了详细解释。

结论

总结的毛发移植患者围手术期管理实践的最佳证据可作为临床循证指南。建议临床工作人员采用循证建议,以改善和优化患者结局,促进术后恢复。由于这些证据来自不同国家,应用前应评估临床环境等因素。

证据级别V:本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266

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