天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2014年
8期
834-839
,共6页
王喆%魏芳%陈海燕%于海波%张瑞宁%卢志%姜埃利
王喆%魏芳%陳海燕%于海波%張瑞寧%盧誌%薑埃利
왕철%위방%진해연%우해파%장서저%로지%강애리
胰腺炎%肾替代疗法%预后%Meta分析%淀粉酶类%C反应蛋白质%重度急性胰腺炎%连续性肾脏替代治疗
胰腺炎%腎替代療法%預後%Meta分析%澱粉酶類%C反應蛋白質%重度急性胰腺炎%連續性腎髒替代治療
이선염%신체대요법%예후%Meta분석%정분매류%C반응단백질%중도급성이선염%련속성신장체대치료
pancreatitis%renal replacement therapy%prognosis%Meta-analysis%amylases%C-reactive protein%severe acute pancreatitis%continuous renal replacement therapy
目的:评价连续性肾脏替代治疗(CRRT)对重度急性胰腺炎(SAP)患者的治疗效果。方法计算机检索MEDLINE(1966-2013.9)、Embase (1974-2013.9)、中文万方数据库(1996-2013.9)、CNKI(1979-2013.9)、Cochrane图书馆临床对照试验资料库。手工检索已发表或未发表的相关文献,包括会议等。由2名评价员独立对纳入的文献进行质量评价和数据提取,用RevMan5.2软件进行Meta分析。结果共纳入15项随机对照试验,共计652例患者。Meta分析结果显示CRRT治疗与传统治疗方法比较,可以明显降低血淀粉酶水平(WMD=-140.76,95%CI为-212.42~-69.11,P=0.0001),清除炎症介质,降低APACHEⅡ评分(WMD=-2.97,95%CI-4.01~-1.93,P<0.001),有效提高存活率(RR=1.35,95%CI 1.19~1.52,P<0.001)。结论 CRRT治疗可有效提高SAP患者的存活率。
目的:評價連續性腎髒替代治療(CRRT)對重度急性胰腺炎(SAP)患者的治療效果。方法計算機檢索MEDLINE(1966-2013.9)、Embase (1974-2013.9)、中文萬方數據庫(1996-2013.9)、CNKI(1979-2013.9)、Cochrane圖書館臨床對照試驗資料庫。手工檢索已髮錶或未髮錶的相關文獻,包括會議等。由2名評價員獨立對納入的文獻進行質量評價和數據提取,用RevMan5.2軟件進行Meta分析。結果共納入15項隨機對照試驗,共計652例患者。Meta分析結果顯示CRRT治療與傳統治療方法比較,可以明顯降低血澱粉酶水平(WMD=-140.76,95%CI為-212.42~-69.11,P=0.0001),清除炎癥介質,降低APACHEⅡ評分(WMD=-2.97,95%CI-4.01~-1.93,P<0.001),有效提高存活率(RR=1.35,95%CI 1.19~1.52,P<0.001)。結論 CRRT治療可有效提高SAP患者的存活率。
목적:평개련속성신장체대치료(CRRT)대중도급성이선염(SAP)환자적치료효과。방법계산궤검색MEDLINE(1966-2013.9)、Embase (1974-2013.9)、중문만방수거고(1996-2013.9)、CNKI(1979-2013.9)、Cochrane도서관림상대조시험자료고。수공검색이발표혹미발표적상관문헌,포괄회의등。유2명평개원독립대납입적문헌진행질량평개화수거제취,용RevMan5.2연건진행Meta분석。결과공납입15항수궤대조시험,공계652례환자。Meta분석결과현시CRRT치료여전통치료방법비교,가이명현강저혈정분매수평(WMD=-140.76,95%CI위-212.42~-69.11,P=0.0001),청제염증개질,강저APACHEⅡ평분(WMD=-2.97,95%CI-4.01~-1.93,P<0.001),유효제고존활솔(RR=1.35,95%CI 1.19~1.52,P<0.001)。결론 CRRT치료가유효제고SAP환자적존활솔。
Objective To assess the effect of continuous renal replacement therapy (CRRT) on severe acute pancre-atitis (SAP). Methods According to the collaborative search strategy, MEDLINE (1966-2013.9), Embase(1974-2013.9), Chinese Wanfang database(1996-2013.9), CNKI(1979-2013.9) and the clinical control test database of Cochrane Library were searched.Published and unpublished literature and meeting summary were searched manually.Quality assessment and data extraction were conducted by two independent investigators. Meta-analysis was performed using RevMan 5.2. Results A total of 15 reports were identified which met the inclusion criteria, in which include data of 652 patients.Com-pared with control group, serum amylase decreased in CRRT group (WMD=-140.76, 95%CI was-212.42 to-69.11, P=0.000 1). Mediators of inflammatory mediators were scavenged effectively and APACHEⅡscore decreased in CRRT group (WMD=-2.97, 95%CI was-4.01 to-1.93, P<0.001). The overall survival rate was significantly higher in CRRT group than that in control group (RR=1.35, 95%CI 1.19-1.52, P<0.001). Conclusion Continuous renal replacement therapy could ef-fectively improve the survival rate of patients with severe acute pancreatitis.