蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
9期
1257-1261,1262
,共6页
高血压%临床路径%Meta分析
高血壓%臨床路徑%Meta分析
고혈압%림상로경%Meta분석
hypertension%clinical path way%Meta analysis
目的：：采用Meta分析方法探讨临床路径对高血压患者的影响。方法：计算机检索中国期刊全文数据库、中文科技期刊全文数据库、万方数据库、中国生物学文献数据库等,收集国内有关临床路径法和传统治疗法在高血压患者中应用效果的对照研究。通过严格质量评价,采用RevMan 5.1软件进行Meta分析。结果：最终纳入15篇文献,共2083例研究对象,临床路径组1035例,传统治疗组1048例。 Meta分析结果显示：临床路径组和传统治疗组在住院天数[ WMD=-3.15,95%CI (-4.64~-1.65),P<0.01]、住院费用[WMD=-615.70,95%CI(-648.03~-583.38),P<0.01]、患者满意度[RR=1.26,95%CI(1.21~1.30),P<0.01]、健康知识掌握情况[RR=1.29,95%CI(1.22~1.37),P <0.01]、收缩压[WMD =-13.97,95%CI(-16.47~-11.47),P<0.01]、舒张压[WMD=-4.70,95%CI(-5.82~-3.59),P<0.01]及遵医行为[RR=1.24,95%CI(1.19~1.28),P<0.01]方面差异均有统计学意义。结论：临床路径法应用于高血压患者的效果优于传统治疗法。但是纳入研究文献的质量差异较大,需要更加设计严谨、样本量大的随机对照试验来证实此结论。
目的：：採用Meta分析方法探討臨床路徑對高血壓患者的影響。方法：計算機檢索中國期刊全文數據庫、中文科技期刊全文數據庫、萬方數據庫、中國生物學文獻數據庫等,收集國內有關臨床路徑法和傳統治療法在高血壓患者中應用效果的對照研究。通過嚴格質量評價,採用RevMan 5.1軟件進行Meta分析。結果：最終納入15篇文獻,共2083例研究對象,臨床路徑組1035例,傳統治療組1048例。 Meta分析結果顯示：臨床路徑組和傳統治療組在住院天數[ WMD=-3.15,95%CI (-4.64~-1.65),P<0.01]、住院費用[WMD=-615.70,95%CI(-648.03~-583.38),P<0.01]、患者滿意度[RR=1.26,95%CI(1.21~1.30),P<0.01]、健康知識掌握情況[RR=1.29,95%CI(1.22~1.37),P <0.01]、收縮壓[WMD =-13.97,95%CI(-16.47~-11.47),P<0.01]、舒張壓[WMD=-4.70,95%CI(-5.82~-3.59),P<0.01]及遵醫行為[RR=1.24,95%CI(1.19~1.28),P<0.01]方麵差異均有統計學意義。結論：臨床路徑法應用于高血壓患者的效果優于傳統治療法。但是納入研究文獻的質量差異較大,需要更加設計嚴謹、樣本量大的隨機對照試驗來證實此結論。
목적：：채용Meta분석방법탐토림상로경대고혈압환자적영향。방법：계산궤검색중국기간전문수거고、중문과기기간전문수거고、만방수거고、중국생물학문헌수거고등,수집국내유관림상로경법화전통치요법재고혈압환자중응용효과적대조연구。통과엄격질량평개,채용RevMan 5.1연건진행Meta분석。결과：최종납입15편문헌,공2083례연구대상,림상로경조1035례,전통치료조1048례。 Meta분석결과현시：림상로경조화전통치료조재주원천수[ WMD=-3.15,95%CI (-4.64~-1.65),P<0.01]、주원비용[WMD=-615.70,95%CI(-648.03~-583.38),P<0.01]、환자만의도[RR=1.26,95%CI(1.21~1.30),P<0.01]、건강지식장악정황[RR=1.29,95%CI(1.22~1.37),P <0.01]、수축압[WMD =-13.97,95%CI(-16.47~-11.47),P<0.01]、서장압[WMD=-4.70,95%CI(-5.82~-3.59),P<0.01]급준의행위[RR=1.24,95%CI(1.19~1.28),P<0.01]방면차이균유통계학의의。결론：림상로경법응용우고혈압환자적효과우우전통치요법。단시납입연구문헌적질량차이교대,수요경가설계엄근、양본량대적수궤대조시험래증실차결론。
Objective:To explore the effects of clinical pathway on patients with hypertension using Meta analysis. Methods:The application effects of the clinical pathway method and traditional treatment method on patients with hypertension were investigated by screening CNKI,VIP,Wanfang database and CBMdisc. Through the strict quality evaluation,all data were analyzed by using Rev Man 5. 1 software. Results:Two thousand and eighty-three objects from 15 documents were selected,which were divided into the clinical path way group(1 035 cases) and traditional treatment group(1 048 cases). The Meta-analysis results showed that the differences of the length of hospital stay[WMD= -3. 15,95%CI( -4. 64~ -1. 65),P<0. 01],hospitalization expenses[WMD= -615. 70,95%CI ( -648. 03~ -583. 38),P<0. 01],satisfaction degree of patients[RR=1. 26,95%CI(1. 21 ~1. 30),P<0. 01],knowledge of health[RR=1. 29,95%,CI(1. 22~1. 37),P<0. 01],systolic blood pressure[WMD= -13. 97,95%CI( -16. 47~ -11. 47),P<0. 01],diastolic blood pressure[WMD= -4. 70,95%CI( -5. 82~ -3. 59),P<0. 01] and compliance behavior[RR=1. 24,95%CI (1. 19 ~1. 28),P <0. 01] between two groups were statistically significant. Conclusions:The effect of clinical path way in the application of patients with hypertension is better than that of traditional treatment. Because of the large differences of the quality of the documents and large samples,the design need more rigorous,and randomized controlled trial can be used to confirm this conclusion.
