热带病与寄生虫学
熱帶病與寄生蟲學
열대병여기생충학
TROPICAL DISEASES AND PARASITOLOGY
2014年
2期
96-100
,共5页
头孢曲松(罗氏芬)%大观霉素%壮观霉素%循证医学%Meta分析
頭孢麯鬆(囉氏芬)%大觀黴素%壯觀黴素%循證醫學%Meta分析
두포곡송(라씨분)%대관매소%장관매소%순증의학%Meta분석
Rocephin%Ceftriaxone%Ceftriaxone Sodium%Spectinomycin%Evidence based medi-cine%Meta-analysis
目的:利用Meta分析评价头孢曲松与大观霉素治疗单纯性淋病的疗效。方法检索Co-chrane图书馆,Pubmed数据库,中国生物医学文献数据库,CNKI数据库,VIP数据库,万方数据库,纳入头孢曲松与大观霉素对比治疗单纯性淋病的随机对照试验(RCT),并进行方法学质量评价。采用RevMan5.2软件进行统计分析,并进行敏感性分析。结果6篇RCT文献纳入本项研究,累计病例789例。Meta分析结果显示:头孢曲松在提高痊愈率[OR1.18;95%CI(1.06,3.34),P<0.05]和总有效率方面[OR3.96;95%CI(1.29,12.18),P<0.05]差异具有统计学意义,而在细菌清除率[OR3.17;95%CI(0.32,31.09),P>0.05]和不良反应[OR0.39;95%CI(0.11,1.36),P>0.05]方面则无明显差异。结论头孢曲松在治疗单纯性淋病中疗效确切,是治疗单纯性淋病的有效方法。
目的:利用Meta分析評價頭孢麯鬆與大觀黴素治療單純性淋病的療效。方法檢索Co-chrane圖書館,Pubmed數據庫,中國生物醫學文獻數據庫,CNKI數據庫,VIP數據庫,萬方數據庫,納入頭孢麯鬆與大觀黴素對比治療單純性淋病的隨機對照試驗(RCT),併進行方法學質量評價。採用RevMan5.2軟件進行統計分析,併進行敏感性分析。結果6篇RCT文獻納入本項研究,纍計病例789例。Meta分析結果顯示:頭孢麯鬆在提高痊愈率[OR1.18;95%CI(1.06,3.34),P<0.05]和總有效率方麵[OR3.96;95%CI(1.29,12.18),P<0.05]差異具有統計學意義,而在細菌清除率[OR3.17;95%CI(0.32,31.09),P>0.05]和不良反應[OR0.39;95%CI(0.11,1.36),P>0.05]方麵則無明顯差異。結論頭孢麯鬆在治療單純性淋病中療效確切,是治療單純性淋病的有效方法。
목적:이용Meta분석평개두포곡송여대관매소치료단순성임병적료효。방법검색Co-chrane도서관,Pubmed수거고,중국생물의학문헌수거고,CNKI수거고,VIP수거고,만방수거고,납입두포곡송여대관매소대비치료단순성임병적수궤대조시험(RCT),병진행방법학질량평개。채용RevMan5.2연건진행통계분석,병진행민감성분석。결과6편RCT문헌납입본항연구,루계병례789례。Meta분석결과현시:두포곡송재제고전유솔[OR1.18;95%CI(1.06,3.34),P<0.05]화총유효솔방면[OR3.96;95%CI(1.29,12.18),P<0.05]차이구유통계학의의,이재세균청제솔[OR3.17;95%CI(0.32,31.09),P>0.05]화불량반응[OR0.39;95%CI(0.11,1.36),P>0.05]방면칙무명현차이。결론두포곡송재치료단순성임병중료효학절,시치료단순성임병적유효방법。
Objective To evaluate the efficacy and safety of rocephin versus rpectinomycin for uncom-plicated gonorrhea by Meta-analysis . Methods The studies involving randomized controlled trials (RCTs) on ceftriaxone (rocephin) versus spectinomycin for uncomplicated gonorrhea were collected from the database, such as the Cochrane Library, Pubmed, CBMdisc, CNKI, VIP and Wanfang. After the necessary methodologi-cal quality evaluation of the selected studies, assessment of publication bias and sensitivity analysis, the statistic analysis was conducted by the software RevMan5.2. Results Six eligible reports were identified in this study, including accumulative total 789 cases. The Meta-analysis results showed rocephin in the treatment of uncom-plicated gonorrhea had higher effectiveness and recovery than the spectinomycin group(P<0.05), which could increase the cure rate [OR1.18;95%CI(1.06,3.34),P<0.05] and the total effective rate [OR3.96;95%CI(1.29, 12.18), P<0.05],but there were no significant difference among bacterial eradication rate and incidence of ad-verse reactions. Conclusion The ceftriaxone (rocephin) showed definite curative effect in the treatment of un-complicated gonorrhea.