循证医学
循證醫學
순증의학
THE JOURNAL OF EVIDENCE-BASED MEDICINE
2009年
5期
299-303,313
,共6页
王挹青%甘书芬%侯淑红%陈伟斌
王挹青%甘書芬%侯淑紅%陳偉斌
왕읍청%감서분%후숙홍%진위빈
冠心病%老年患者%循证治疗
冠心病%老年患者%循證治療
관심병%노년환자%순증치료
coronary heart disease%elderly patients%evidence-based treatment
目的 借助循证医学的方法为一位因"反复活动后心前区疼痛3月余"的老年冠心病患者制定治疗方案.方法 在充分评估患者临床状况后,提出临床问题,检索Cochrane图书馆(2007年第3期)、Evidence-Based Medicine Reviews(EBMR)(1991-2005年)、MEDLINE(1991-2007年)数据库等.结果 纳入冠心病治疗的随机对照试验18篇,系统评价或Meta分析8篇,根据所获证据给患者制定治疗方案.结论 采用循证医学的方法,为老年冠心病患者确定合理的治疗方案,可有效提高治疗效果.
目的 藉助循證醫學的方法為一位因"反複活動後心前區疼痛3月餘"的老年冠心病患者製定治療方案.方法 在充分評估患者臨床狀況後,提齣臨床問題,檢索Cochrane圖書館(2007年第3期)、Evidence-Based Medicine Reviews(EBMR)(1991-2005年)、MEDLINE(1991-2007年)數據庫等.結果 納入冠心病治療的隨機對照試驗18篇,繫統評價或Meta分析8篇,根據所穫證據給患者製定治療方案.結論 採用循證醫學的方法,為老年冠心病患者確定閤理的治療方案,可有效提高治療效果.
목적 차조순증의학적방법위일위인"반복활동후심전구동통3월여"적노년관심병환자제정치료방안.방법 재충분평고환자림상상황후,제출림상문제,검색Cochrane도서관(2007년제3기)、Evidence-Based Medicine Reviews(EBMR)(1991-2005년)、MEDLINE(1991-2007년)수거고등.결과 납입관심병치료적수궤대조시험18편,계통평개혹Meta분석8편,근거소획증거급환자제정치료방안.결론 채용순증의학적방법,위노년관심병환자학정합리적치료방안,가유효제고치료효과.
Objective Methods of evidence-based medicine were used to make an individualized treatment plan concerning diagnosed as coronary heart disease in elderly patients with the symptom of frequent chest pain after physical activity for over 3 months. Methods After clinical problems were put forward, we searched The Cochrane Library (Issue 3, 2007), Evidence-Based Medicine Reviews (EMBR) (1991-2005), and MEDLINE (1991-2007) databases, etc. Results A total of 18 randomized controlled trials, 8 systematic reviews and meta-analysis were identified. The treatment plan was developed accordingly. Conclusions The treatment efficacy in diagnosed coronary heart disease in the elderly has been improved by determing an individualized treatment plan according to evidence-based medicine.
