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质子泵抑制剂治疗肝硬化并食管胃底静脉曲张破裂出血的Meta分析

Effect of proton pump inhibitor in treatment of esophagogastric variceal bleeding in cirrhotic patients:a Meta-analysis

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【作者】 王宏强史志华肖智朋金远香曾晓丹田璐谭力铭

【Author】 WANG Hongqiang;SHI Zhihua;XIAO Zhipeng;JIN Yuanxiang;ZENG Xiaodan;TIAN Lu;TAN Liming;Department of Clinical Pharmaceutics,the First People’s Hospital of Huaihua;Evidence-Based Medicine and Clinical Research Center,the First People’s Hospital of Huaihua;

【机构】 怀化市第一人民医院临床药学研究室怀化市第一人民医院循证医学与临床研究中心

【摘要】 目的评价质子泵抑制剂(proton pump inhibitor,PPI)治疗肝硬化并食管胃底静脉曲张破裂出血(esophagogastric variceal bleeding,EGVB)的效果。方法计算机检索Cochrane Library、Pub Med、中国知网、万方医学、维普数据库,检索时间从建库至2016年3月1日,收集关于PPI治疗肝硬化并EGVB的随机对照试验。由2名评价员独立对所纳入的文献进行资料提取、质量评价并交叉核对,然后采用Revman 5.0版软件进行Meta分析。结果共纳入相关文献15篇,包括1 267例EGVB患者,Meta分析结果显示PPI治疗EGVB有效。结论 PPI治疗肝硬化并EGVB有效。

【Abstract】 Objective To evaluate the effect of proton pump inhibitor(PPI) in treatment of esophagogastric variceal bleeding(EGVB) in cirrhotic patients. Methods RCTs about PPI in treatment of EGVB in cirrhotic patients were reviewed in English and Chinese datebase such as Cochrane Library,Pub Med,CNKI,Wan Fang Medicine,Vepsa. The retrieval time was from building library to Mar. 1 2016. The quality of RCTs was critical appraised and data were extracted by 2 reviewers independently. Results A sum of 15 RCTs were collected,included 1 267 patients with EGVB.Meta-analysis showed that PPI in treatment of EGVB was effective. Conclusion The therapy of PPI in cirrhosis with EGVB patients is effective.

【基金】 基金项目:怀化市科学技术局(2015F3104)
  • 【文献出处】 胃肠病学和肝病学杂志 ,Chinese Journal of Gastroenterology and Hepatology , 编辑部邮箱 ,2017年01期
  • 【分类号】R575.2
  • 【被引频次】6
  • 【下载频次】336
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