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交感神经切断术后限制或降低水平后的代偿性出汗：系统评价和荟萃分析。

Compensatory sweating after restricting or lowering the level of sympathectomy: a systematic review and meta-analysis.

机构信息

Department of Cardiothoracic Surgery, Sun Yat-sen University, Guangzhou, China.

Department of Anesthesiology, Sun Yat-sen University, Guangzhou, China.

出版信息

Clinics (Sao Paulo). 2015 Mar;70(3):214-9. doi: 10.6061/clinics/2015(03)11. Epub 2015 Mar 1.

DOI:10.6061/clinics/2015(03)11
PMID:26017654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4449481/
Abstract

OBJECTIVE

To compare compensatory sweating after lowering or restricting the level of sympathectomy.

METHOD

A systematic review and meta-analysis were conducted of all randomized controlled trials published in English that compared compensatory sweating after lowering or restricting the level of sympathectomy. The Cochrane collaboration tool was used to assess the risk of bias, and the Mantel-Haenszel odds ratio method was used for the meta-analysis.

RESULTS

A total of 11 randomized controlled trials were included, including a total of 1079 patients. Five of the randomized controlled trials studied restricting the level of sympathectomy, and the remaining six studied lowering the level of sympathectomy.

CONCLUSIONS

The compiled randomized controlled trial results published so far in the literature do not support the claims that lowering or restricting the level of sympathetic ablation results in less compensatory sweating.

摘要

目的

比较降低或限制交感神经切断水平后的代偿性出汗情况。

方法

对所有以英文发表的、比较降低或限制交感神经切断水平后的代偿性出汗情况的随机对照试验进行了系统评价和荟萃分析。采用 Cochrane 协作工具评估偏倚风险，并采用 Mantel-Haenszel 比值比法进行荟萃分析。

结果

共纳入 11 项随机对照试验，共计 1079 例患者。其中 5 项随机对照试验研究了限制交感神经切断水平，其余 6 项研究了降低交感神经切断水平。

结论

目前文献中发表的已编译的随机对照试验结果并不支持降低或限制交感神经消融水平会导致代偿性出汗减少的说法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/0a9fd0f4a461/cln-70-03-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/af5303cc1dd6/cln-70-03-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/cdfdb406d2c5/cln-70-03-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/ed51d458faed/cln-70-03-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/0a9fd0f4a461/cln-70-03-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/af5303cc1dd6/cln-70-03-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/cdfdb406d2c5/cln-70-03-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/ed51d458faed/cln-70-03-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15cf/4449481/0a9fd0f4a461/cln-70-03-214-g004.jpg

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Ann Thorac Surg. 2011 Dec;92(6):2015-9. doi: 10.1016/j.athoracsur.2011.07.083.
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