CAJ | 학술논문

目的评价压力抗栓泵预防中老年卧床或无活动能力患者深静脉血栓形成的效果.方法计算机检索Pubmed(1996年至今)、Cochrane图书馆(1997年至今)、CLNAHL(1980年至今)EMBASE,Science Direct,Oxford Journals(英国牛津大学出版社系列期刊),CNKI(1994年至今)、万方(1998年至今)等数据库,手工检索相关文献资料,按照纳入标准与排除标准搜集有关压力抗栓泵预防卧床或无活动能力患者DVT的随机对照试验.参照Cochrane系统评价方法评价纳入研究的方法学质量,并采用RevMan 5.0软件进行统计学分析.结果共纳入7篇文献(RCT,共3 781例患者),Meta分析结果显示:应用压力抗栓泵的实验组DVT发生率低于未应用的对照组.结论应用压力抗栓泵能有效预防DVT且安全,但由于纳入研究文献较少,上述结论尚有待于更多、更高质量的研究加以验证.
목적 평개압력항전빙예방중노년와상혹무활동능력환자심정맥혈전형성적효과.방법 계산궤검색Pubmed(1996년지금)、Cochrane도서관(1997년지금)、CLNAHL(1980년지금)EMBASE,Science Direct,Oxford Journals(영국우진대학출판사계렬기간),CNKI(1994년지금)、만방(1998년지금)등수거고,수공검색상관문헌자료,안조납입표준여배제표준수집유관압력항전빙예방와상혹무활동능력환자DVT적수궤대조시험.삼조Cochrane계통평개방법평개납입연구적방법학질량,병채용RevMan 5.0연건진행통계학분석.결과 공납입7편문헌(RCT,공3 781례환자),Meta분석결과현시:응용압력항전빙적실험조DVT발생솔저우미응용적대조조.결론 응용압력항전빙능유효예방DVT차안전,단유우납입연구문헌교소,상술결론상유대우경다、경고질량적연구가이험증.
Objective To evaluate the efficacy of intermittent pneumatic compression or sequential compression device in prevention of deep venous thrombosis in long-term bedridden patients.Methods We searched Pubmed (1996～),The Cochrane Library (1997～),CLNAHL (1980～),CNKI (1994～),EM-BASE,Science Direct,Oxford Journals,Wanfang Data(1998 ～),and randomized controlled trials (RCTs) in which IPC or SCD was used as an intervention to prevent DVT,and all the trials were published in English or Chinese.The methodological quality of the included studies was assessed according to the standard of Cochrane systematic review.RevMan 5.0 software was used for Meta-analysis.Results Seven RCTs were included.The results of Meta-analysis showed that the incidence of DVT in the IPC or SCD group was lower than that in the control group.Conclusions IPC or SCD shows an effective tendency in DVT prevention,but because of the low quality and the small sample of the included studies,this conclusion needs to be verified by protocols of more samples and higher quality.