目的 总结战创伤失血性休克伤员骨髓腔输液的最佳证据,为相关人员在特殊环境下的临床实践提供参考.方法 系统检索国内外相关专业协会网站、指南网、CochraneLibrary、PubMed、中国知网、万方、维普等数据库、全国团体标准信息平台中关于战创伤失血性休克伤员骨髓腔输液管理的相关证据,检索时限为建库至2024年12月.由2名研究者进行文献筛选和质量评价,并根据主题提取、汇总证据.结果 最终纳入11篇文献,包括1篇临床决策、2篇指南、2篇系统评价、5篇专家共识、1篇团体标准,形成骨髓腔输液通路的实施、并发症的预防和处理以及操作培训3个主题,共23条证据.结论 相关人员在应用战创伤失血性休克伤员骨髓腔输液证据时,可结合现场环境和伤员伤情,对伤员实施科学管理,从而提升救治效率, 降低急救死亡率.

Objective To summarize the best evidence for intraosseous infusion (IO) in combat-trauma hemorrhagic shock patients,so as to provide references for medical personnel in clinical practice under special circumstances.Methods Relevant evidence for intraosseous infusion (IO) in combat-trauma hemorrhagic shock patients was systematically retrieved from the websites of relevant professional associations at home and abroad,guide websites,UpToDate,Cochrane Library,PubMed,OVID,SinoMed,China National Knowledge Infrastructure (CNKI),Wanfang Database,VIP database,and the National Group Standard Information Platform.The retrieval period was from the inception to December 2024.Two researchers independently conducted literature screening and quality evaluation,and extracted and summarized evidence based on the topic.Results A total of 11 studies were included,with 1 clinical decision,2 guidelines,2 systematic reviews,5 expert consensuses,and 1 group standard.Three themes were formed,namely implementation of IO access,prevention and treatment of complications,and operation training,with a total of 23 pieces of evidence.Conclusions For the application of the evidence for IO in combat-trauma hemorrhagic shock patients,the medical staff can combine the on-site environment and the condition of the injured to implement scientific management of the injured,thereby improving the efficiency of treatment and reducing the mortality rate of emergency rescue.

R473.82；R823