{"id":62899,"date":"2026-01-05T05:10:41","date_gmt":"2026-01-05T05:10:41","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=62899"},"modified":"2026-01-05T05:10:41","modified_gmt":"2026-01-05T05:10:41","slug":"%e5%b0%8f%e8%82%a0%e6%a2%97%e9%98%bb%e7%9a%84%e8%af%8a%e6%96%ad%e4%b8%8e%e6%b2%bb%e7%96%97%e4%b8%ad%e5%9b%bd%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%86","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=62899","title":{"rendered":"\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6"},"content":{"rendered":"<\/p>\n<p>\u3010\u6458\u8981\u3011\u5c0f\u80a0\u6897\u963b\u662f\u4e00\u79cd\u5e38\u89c1\u7684\u5916\u79d1\u6025\u8179\u75c7\uff0c\u8bca\u65ad\u4e0e\u6cbb\u7597\u590d\u6742\uff0c\u6f0f\u8bca\u548c\u8bef\u8bca\u7387\u8f83\u9ad8\uff0c\u5b58\u5728\u8f83\u9ad8\u7684\u81f4\u6b7b\u548c\u81f4\u6b8b\u7387\uff0c\u800c\u4e34\u5e8a\u4e0a\u5bf9\u4e8e\u5b83\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u4ecd\u7136\u5b58\u5728\u7740\u8f83\u591a\u4e89\u8bae\uff0c\u56fd\u5185\u5c1a\u65e0\u76f8\u5173\u7684\u5171\u8bc6\u4e0e\u6307\u5357\u6765\u89c4\u8303\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u3002\u968f\u7740\u65f6\u4ee3\u7684\u53d1\u5c55\u548c\u533b\u5b66\u7684\u8fdb\u6b65\uff0c\u5927\u591a\u6570\u5c0f\u80a0\u6897\u963b\u7684\u60a3\u8005\u53ef\u4ee5\u91c7\u7528\u653e\u7f6e\u80a0\u6897\u963b\u5bfc\u7ba1\u4ee5\u53ca\u5185\u79d1\u836f\u7269\u6cbb\u7597\u7f13\u89e3\u751a\u81f3\u6062\u590d\u80a0\u9053\u901a\u7545\u6027\u3002\u5165\u9662\u65e9\u671f\u6025\u5371\u91cd\u75c7\u7684\u5c0f\u80a0\u6897\u963b\u60a3\u8005\u7684\u9ad8\u7ea7\u751f\u547d\u652f\u6301\u6cbb\u7597\u4e0d\u5bb9\u5ffd\u89c6\u3002\u7136\u800c\u51b3\u5b9a\u89c2\u5bdf\u671f\u7a97\u53e3\u4ee5\u53ca\u5185\u79d1\u6cbb\u7597\u548c\u65e9\u671f\u624b\u672f\u65f6\u673a\u4ee5\u53ca\u624b\u672f\u65b9\u5f0f\u4ecd\u7136\u5b58\u5728\u7740\u5f88\u591a\u4e89\u8bae\u3002\u636e\u6b64\uff0c\u5728\u4e2d\u534e\u533b\u5b66\u4f1a\u80a0\u5916\u80a0\u5185\u8425\u517b\u5b66\u5206\u4f1a\u3001\u4e2d\u56fd\u56fd\u9645\u533b\u7597\u4fdd\u5065\u4fc3\u8fdb\u4ea4\u6d41\u4f1a\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u5206\u4f1a\u7684\u5021\u8bae\u4e0b,\u5236\u5b9a\u4e86\u300a\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u300b\uff0c\u4ee5\u4f9b\u76f8\u5173\u4e13\u4e1a\u7684\u8bfb\u8005\u548c\u540c\u884c\u53c2\u8003\u3002<\/p>\n<p>\u5f15 \u8a00<\/p>\n<p>\u5c0f\u80a0\u6897\u963b\uff08Small bowel obstruction,SBO\uff09\u662f\u8179\u90e8\u5916\u79d1\u5f53\u4e2d\u4e00\u79cd\u5f88\u5e38\u89c1\u7684\u6025\u8179\u75c7\uff0c\u5b83\u963b\u788d\u4e86\u80a0\u9053\u5185\u5bb9\u7269\u901a\u8fc7\uff0c\u4e34\u5e8a\u5e38\u89c1\u7684\u8868\u73b0\u4e3a\u8179\u75db\u3001\u5455\u5410\u3001\u8179\u80c0\u3001\u809b\u95e8\u505c\u6b62\u6392\u6c14\u6392\u4fbf\u3002\u5b83\u8d77\u75c5\u6025\uff0c\u75c5\u60c5\u53d8\u5316\u5feb\uff0c\u5982\u8bca\u6cbb\u4e0d\u5f53\u5219\u540e\u679c\u4e25\u91cd[1]\u300220\u4e16\u7eaa\u4ee5\u6765\uff0c\u968f\u7740\u533b\u5b66\u5f71\u50cf\u5b66\u6280\u672f\u7684\u53d1\u5c55\uff0c\u7279\u522b\u662f\u9ad8\u5206\u8fa8\u7387\u87ba\u65cbCT\u7b49\u8f85\u52a9\u68c0\u67e5\u8bbe\u5907\u7684\u5347\u7ea7\uff0c\u5c0f\u80a0\u6897\u963b\u7684\u672f\u524d\u8bca\u65ad\u5c24\u5176\u662f\u7279\u6b8a\u7c7b\u578b\u6897\u963b\u7684\u8bca\u65ad\u51c6\u786e\u7387\u5f97\u5230\u660e\u663e\u63d0\u9ad8\u3002\u6b64\u5916\u6db2\u4f53\u590d\u82cf\u548c\u91cd\u75c7\u76d1\u62a4\u6280\u672f\u7684\u4e0d\u65ad\u8fdb\u6b65\uff0c\u4ee5\u53ca\u5c0f\u80a0\u51cf\u538b\u6280\u672f\u3001\u6297\u751f\u7d20\u3001\u751f\u957f\u6291\u7d20\u7b49\u836f\u7269\u7684\u5e94\u7528\u4e4b\u540e\uff0c\u56e0\u6b64\u5c0f\u80a0\u6897\u963b\u5bfc\u81f4\u7684\u6b7b\u4ea1\u7387\u5df2\u6709\u4e86\u5927\u5e45\u5ea6\u964d\u4f4e\u3002\u867d\u7136\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u548c\u6cbb\u7597\u65b9\u9762\u5df2\u7ecf\u6709\u4e86\u957f\u8db3\u7684\u8fdb\u6b65\uff0c\u4f46\u662f\u5728\u5f53\u524d\u4e13\u79d1\u7ec6\u5206\u7684\u8d8b\u52bf\u4e0b\uff0c\u4e34\u5e8a\u4e0a\u8fc7\u5ea6\u4f9d\u8d56\u5f71\u50cf\u8bca\u65ad\u548c\u4e0d\u6070\u5f53\u7684\u8bca\u7597\u7b56\u7565\u662f\u76ee\u524d\u5b58\u5728\u7684\u4e3b\u8981\u95ee\u9898\u3002\u5728\u4e2d\u534e\u533b\u5b66\u4f1a\u80a0\u5916\u80a0\u5185\u8425\u517b\u5b66\u5206\u4f1a\u3001\u4e2d\u56fd\u56fd\u9645\u533b\u7597\u4fdd\u5065\u4fc3\u8fdb\u4ea4\u6d41\u4f1a\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u5206\u4f1a\u7684\u5021\u8bae\u4e0b\uff0c\u5236\u5b9a\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u4e13\u5bb6\u5171\u8bc6\uff0c\u4f9b\u56fd\u5185\u540c\u884c\u53c2\u8003\u4ee5\u53ca\u5b9e\u8df5\u3002\u7f16\u5199\u59d4\u5458\u4f1a\u4e13\u5bb6\u7ed3\u5408\u5f53\u524d\u5173\u4e8e\u5c0f\u80a0\u6897\u963b\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u7684\u6700\u65b0\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\uff0c\u4f9d\u636e\u4e34\u5e8a\u6307\u5357\u7814\u7a76\u4e0e\u8bc4\u4f30\u7cfb\u7edf\u2161\uff08Appraisal ofGuidelines for Research and Evaluation \u2161\uff0cAGREE\u2161\uff09\u5236\u5b9a\u6761\u76ee\u8fdb\u884c\u64b0\u5199\uff0c\u8d77\u8349\u521d\u7a3f\u540e\uff0c\u8fdb\u884c\u51fd\u5ba1\uff0c\u540c\u610f\u7387\u226580%\u88ab\u89c6\u4e3a\u8fbe\u6210\u5171\u8bc6\uff1b\u5982\u679c\u672a\u80fd\u8fbe\u6210\u5171\u8bc6\uff0c\u5219\u8be5\u58f0\u660e\u5c06\u88ab\u4fee\u8ba2\u5e76\u91cd\u65b0\u8868\u51b31\u6b21\uff0c\u5e76\u8bb0\u5f55\u672a\u80fd\u8fbe\u6210\u5171\u8bc6\u7684\u539f\u56e0\u3002<\/p>\n<\/p>\n<p>\u4e00\u3001\u5171\u8bc6\u7684\u5f62\u6210\u65b9\u6cd5<\/p>\n<p>1.\u4e34\u5e8a\u95ee\u9898\u7684\u786e\u5b9a\uff1a\u4f9d\u636e\u300a\u4e2d\u56fd\u5236\u8ba2\/\u4fee\u8ba2\u4e34\u5e8a\u8bca\u7597\u6307\u5357\u7684\u6307\u5bfc\u539f\u5219\uff082022\u7248\uff09\u300b[1]\uff0c\u5728\u4e34\u5e8a\u6307\u5357\u5236\u5b9a\u9886\u57df\u65b9\u6cd5\u5b66\u5bb6\u6307\u5bfc\u4e0b\uff0c\u901a\u8fc7\u7cfb\u7edf\u68c0\u7d22\u5c0f\u80a0\u6897\u963b\u9886\u57df\u5df2\u53d1\u8868\u7684\u6307\u5357\u548c\u7cfb\u7edf\u7efc\u8ff0\uff0c\u4ee5\u53ca\u5bf9\u9886\u57df\u90e8\u5206\u4e13\u5bb6\u7684\u8bbf\u8c08\uff0c\u805a\u7126\u4e8e\u5f53\u524d\u8bca\u7597\u9886\u57df\u7684\u96be\u70b9\u53ca\u4e89\u8bae\u70b9\uff0c\u6839\u636e\u4e13\u5bb6\u59d4\u5458\u4f1a\u610f\u89c1\u9074\u9009\u51fa\u672c\u5171\u8bc6\u62df\u89e3\u51b3\u7684\u5173\u952e\u95ee\u9898\u3002<\/p>\n<p>2.\u8bc1\u636e\u7684\u68c0\u7d22\uff1a\u9488\u5bf9\u6700\u7ec8\u7eb3\u5165\u7684\u5173\u952e\u4e34\u5e8a\u95ee\u9898\uff0c\u6309\u7167\u4eba\u7fa4\u3001\u5e72\u9884\u3001\u5bf9\u7167\u548c\u7ed3\u5c40\u539f\u5219\uff0c\u5bf9\u5176\u8fdb\u884c\u591a\u6e90\u4e2d\u6587\u548c\u82f1\u6587\u6570\u636e\u5e93\u68c0\u7d22\uff0c\u68c0\u7d22\u8bcd\u201c\u5c0f\u80a0\u6897\u963b\u3001\u80a0\u6897\u963b\u3001\u80a0\u963b\u585e\u3001\u80a0\u9053\u95ed\u585e\u201d\u3002\u5177\u4f53\u68c0\u7d22\u6570\u636e\u5e93\u5305\u62ecPubMed\u3001Embase\u3001Clinicaltrial.org\u3001Cochrane Library\u3001Web of Science\u3001Google Scholar\u3001\u4e2d\u56fd\u77e5\u7f51\u3001\u4e07\u65b9\u3001\u7ef4\u666e\u548c\u4e2d\u56fd\u751f\u7269\u533b\u5b66\u6587\u732e\u6570\u636e\u5e93\u3002\u6b64\u5916\uff0c\u4e5f\u5bf9\u76f8\u5173\u7efc\u8ff0\u7684\u53c2\u8003\u6587\u732e\u8fdb\u884c\u8865\u5145\u68c0\u7d22\u3002\u8bc1\u636e\u68c0\u7d22\u622a\u6b62\u65e5\u671f\u4e3a2022\u5e749\u670830\u65e5\u3002<\/p>\n<p>3.\u8bc1\u636e\u7684\u8bc4\u4ef7\u548c\u5206\u7ea7\uff1a\u5bf9\u4e8e\u7eb3\u5165\u7684\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u7814\u7a76\uff0c\u91c7\u7528Cochrane\u8bc4\u5ba1\u5458\u624b\u518c5.0.1 \u6807\u51c6\u8fdb\u884c\u8bc4\u4ef7[2]\u3002\u5bf9\u4e8e\u7eb3\u5165\u7684\u961f\u5217\u7814\u7a76\uff0c\u91c7\u7528\u7ebd\u5361\u65af\u5c14-\u6e25\u592a\u534e\u91cf\u8868\u8fdb\u884c\u8bc4\u4ef7[3]\u3002\u5bf9\u4e8e\u8bca\u65ad\u51c6\u786e\u6027\u7814\u7a76\uff0c\u91c7\u7528QUADAS-2\u8fdb\u884c\u8bc4\u4ef7[4]\u3002\u5bf9\u4e8e\u75c5\u4f8b\u7cfb\u5217\u7814\u7a76\uff0c\u91c7\u7528\u82f1\u56fd\u56fd\u7acb\u4e34\u5e8a\u4f18\u5316\u7814\u7a76\u6240\u7684\u8bc4\u4ef7\u5de5\u5177\u8fdb\u884c\u8bc4\u4ef7[5]\u3002\u8bc4\u4ef7\u8fc7\u7a0b\u7531\u4e24\u4f4d\u4eba\u5458\u72ec\u7acb\u5b8c\u6210\uff0c\u82e5\u5b58\u5728\u5206\u6b67\uff0c\u5219\u5171\u540c\u8ba8\u8bba\u6216\u54a8\u8be2\u7b2c\u4e09\u65b9\u89e3\u51b3\u3002\u4f9d\u636e\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u8d28\u91cf\u548c\u63a8\u8350\u5f3a\u5ea6\u6309\u7167\u63a8\u8350\u610f\u89c1\u5206\u7ea7\u7684\u8bc4\u4f30\u3001\u5236\u8ba2\u53ca\u8bc4\u4ef7\uff08The&nbsp;Grading&nbsp;of Recommendations Assessment, Development and Evaluation\uff0cGRADE\uff09\u5bf9\u8bc1\u636e\u8d28\u91cf\u548c\u63a8\u8350\u610f\u89c1\u8fdb\u884c\u5206\u7ea7[6]\u3002\u8bc1\u636e\u8d28\u91cf\u5206\u9ad8\u3001\u4e2d\u3001\u4f4e\u3001\u6781\u4f4e\u51714\u4e2a\u7ea7\u522b\uff0c\u63a8\u8350\u5f3a\u5ea6\u5206\u5f3a\u70c8\u63a8\u8350\u548c\u4e00\u822c\u6027\u63a8\u8350\u4e24\u4e2a\u7ea7\u522b\u3002\u89c1\u88681<\/p>\n<p>\u88681 \u8bc1\u636e\u8d28\u91cf\u4e0e\u63a8\u8350\u5f3a\u5ea6\u7b49\u7ea7\u5224\u5b9a<\/p>\n<p>\u8bc1\u636e\u8d28\u91cf\u5206\u7ea7<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6458\u8981\u3011\u5c0f\u80a0\u6897\u963b\u662f\u4e00\u79cd\u5e38\u89c1\u7684\u5916\u79d1\u6025\u8179\u75c7\uff0c\u8bca\u65ad\u4e0e\u6cbb\u7597\u590d\u6742\uff0c\u6f0f\u8bca\u548c\u8bef\u8bca\u7387\u8f83\u9ad8\uff0c\u5b58\u5728\u8f83 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=62899\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-62899","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/62899","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=62899"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/62899\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62899"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}