中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
12期
67-70
,共4页
腰大池引流脑脊液%腰穿释放脑脊液%蛛网膜下腔出血%Meta分析
腰大池引流腦脊液%腰穿釋放腦脊液%蛛網膜下腔齣血%Meta分析
요대지인류뇌척액%요천석방뇌척액%주망막하강출혈%Meta분석
Lumbar continued drainage%Lumbar puncture%Subarachnoid hemorrhage%Meta analysis
目的：系统评价腰大池持续引流脑脊液(LCD)和腰穿释放脑脊液(LP)对蛛网膜下腔出血(SAH)患者的预后比较。方法计算机检索中文、外文数据库，纳入所有关于LCD/LP的随机对照试验，并对纳入文献进行质量评价。数据统计分析采用RevMan 5.0软件进行。结果最后有19个随机对照试验(RCT)符合标准，患者共计1898例。 Meta分析结果显示：依GOS预后评分，恢复良好率LCD优于LP；并发症发生率LCD低于LP。结论在掌握其适应证情况下，LCD更加安全有效。
目的：繫統評價腰大池持續引流腦脊液(LCD)和腰穿釋放腦脊液(LP)對蛛網膜下腔齣血(SAH)患者的預後比較。方法計算機檢索中文、外文數據庫，納入所有關于LCD/LP的隨機對照試驗，併對納入文獻進行質量評價。數據統計分析採用RevMan 5.0軟件進行。結果最後有19箇隨機對照試驗(RCT)符閤標準，患者共計1898例。 Meta分析結果顯示：依GOS預後評分，恢複良好率LCD優于LP；併髮癥髮生率LCD低于LP。結論在掌握其適應證情況下，LCD更加安全有效。
목적：계통평개요대지지속인류뇌척액(LCD)화요천석방뇌척액(LP)대주망막하강출혈(SAH)환자적예후비교。방법계산궤검색중문、외문수거고，납입소유관우LCD/LP적수궤대조시험，병대납입문헌진행질량평개。수거통계분석채용RevMan 5.0연건진행。결과최후유19개수궤대조시험(RCT)부합표준，환자공계1898례。 Meta분석결과현시：의GOS예후평분，회복량호솔LCD우우LP；병발증발생솔LCD저우LP。결론재장악기괄응증정황하，LCD경가안전유효。
Objective To assess the effect of lumbar continued drainage (LCD) and lumbar puncture (LP) for patients with subarachnoid hemorrhage (SAH). Methods Searched Chinese and foreign databases, the randomized controlled tri-als(RCTs) about LCD/LP were included. The quality of the articles was assessed. The data was input and analyzed by RevMan 5.0 software. Results Nineteen randomized controlled trials(RCTs) (1898 patients) met the inclusion criteria. Meta analysis results showed according to GOS prognostic score, well recovery rate of LCD was better than that of LP, complication rates of LCD were lower than that of LP. Conclusion In mastering its indicatio cases, LCD is more safe and effective.
