CAJ | 학술논문

目的：评价急性失代偿心力衰竭(ADHF)患者肺栓塞的发生率。方法全面检索截至2014年8月的Pubmed 数据库(1966年~)、Embase 数据库(1974年~)、中国生物医学文献数据库(1978年~)、中国期刊全文数据库(1979年~)及维普数据库(1989年~),查找研究 ADHF 患者肺栓塞发生率的文献,采用 Stata 12.0版统计软件进行 meta 分析。结果在检索到的4370篇文献中,共有3篇符合纳入标准(3篇英文文献)。共纳入389例患者,其中肺栓塞31例。报道的 ADHF 患者肺栓塞发生率为5.0%~11.8%,Meta 分析合并发生率为7.6%(95% CI =4.0%~11.2%)。结论 ADHF 患者中肺栓塞发生率较高,在临床诊治中应予以重视。
목적：평개급성실대상심력쇠갈(ADHF)환자폐전새적발생솔。방법전면검색절지2014년8월적Pubmed 수거고(1966년~)、Embase 수거고(1974년~)、중국생물의학문헌수거고(1978년~)、중국기간전문수거고(1979년~)급유보수거고(1989년~),사조연구 ADHF 환자폐전새발생솔적문헌,채용 Stata 12.0판통계연건진행 meta 분석。결과재검색도적4370편문헌중,공유3편부합납입표준(3편영문문헌)。공납입389례환자,기중폐전새31례。보도적 ADHF 환자폐전새발생솔위5.0%~11.8%,Meta 분석합병발생솔위7.6%(95% CI =4.0%~11.2%)。결론 ADHF 환자중폐전새발생솔교고,재림상진치중응여이중시。
Objective To evaluate the incidence of pulmonary embolism in patients with acute decompensated heart failure (ADHF ). Methods Literatures on the incidence of pulmonary embolism in patients with acute decompensated heart failure in PubMed (1 966-),Embase (1 974-),Chinese Biomedical Literature Database (1 978-), Chinese Journal Full Text Database (1 979-)and VIP Database (1 989-)until August 2014 were comprehensively searched.Meta-analysis was conducted using Stata version 12.0 software.Results Among the 4 370 articles identified,only 3 studies in English met the inclusion criteria.389 patients were included,among which 31 patients were diagnosed as pulmonary embolism.The incidence of pulmonary embolism ranged from 5.0% to 1 1.8%.Meta-analysis showed that the combined incidence was 7.6% (95% CI = 4.0%-1 1.2% ).Conclusion The incidence of pulmonary embolism in patients with ADHF is high.Thus,more attention should be paid on this population in clinical diagnosis and treatment.