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不同丹参注射液对经皮冠状动脉介入治疗后冠心病患者的影响:一项系统评价和网状Meta分析方案

Effect of various Danshen injections on patients with coronary heart disease after percutaneous coronary intervention: A protocol for a systematic review and network meta-analysis.

作者信息

Zhu Zehao, Wang Yuanping, Liao Weilin, Li Huimin, Wang Dawei

机构信息

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou Shunde Hospital Affiliated of Guangzhou University of Chinese Medicine, Shunde, China.

出版信息

Medicine (Baltimore). 2018 Jun;97(24):e11062. doi: 10.1097/MD.0000000000011062.

DOI:10.1097/MD.0000000000011062
PMID:29901609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6023694/
Abstract

BACKGROUND

Patients with coronary heart disease (CHD) who undergo percutaneous coronary intervention (PCI) have a certain risk of vascular complications, including coronary restenosis and thrombosis. Many recent randomized controlled trials have reported that Danshen injection (DSI) combined with conventional Western medicine can significantly reduce the occurrence of major cardiovascular adverse events in patients with CHD after PCI. However, there are many types of DSIs, and no study has yet compared each type. Therefore, we propose a study protocol for the systematic evaluation of the efficacy of various DSIs in the treatment of CHD after PCI.

METHODS

We will search the following electronic databases for randomized controlled trials evaluating the effect of DSI in patients with CHD after PCI: PubMed, Embase, Web of Science, Cochrane Library, Scopus, Ovid Evidence-Based Medicine Reviews, China National Knowledge Infrastructure, and Chinese Biomedicine Literature Database. Each database will be searched from inception to April 2018. The entire process will include study selection, data extraction, risk of bias assessment, pairwise meta-analyses, and network meta-analyses.

RESULTS

This proposed study will compare the efficacy of different DSIs in the treatment of patients with CHD after PCI. The outcomes will include major cardiovascular adverse events and left ventricular ejection fraction.

CONCLUSION

This proposed systematic review will evaluate the different advantages of various types of DSIs in the treatment of patients with CHD after PCI.

REGISTRATION

PROSPERO (registration number: CRD42018092705).

摘要

背景

接受经皮冠状动脉介入治疗(PCI)的冠心病(CHD)患者存在一定的血管并发症风险,包括冠状动脉再狭窄和血栓形成。最近许多随机对照试验报告称,丹参注射液(DSI)联合传统西药可显著降低PCI术后CHD患者主要心血管不良事件的发生率。然而,DSI有多种类型,尚无研究对每种类型进行比较。因此,我们提出一项研究方案,用于系统评价不同类型DSI治疗PCI术后CHD的疗效。

方法

我们将检索以下电子数据库,以查找评估DSI对PCI术后CHD患者疗效的随机对照试验:PubMed、Embase、Web of Science、Cochrane图书馆、Scopus、Ovid循证医学综述、中国知网和中国生物医学文献数据库。每个数据库将从创建至2018年4月进行检索。整个过程将包括研究选择、数据提取、偏倚风险评估、成对荟萃分析和网状荟萃分析。

结果

本拟开展的研究将比较不同DSI治疗PCI术后CHD患者的疗效。结局指标将包括主要心血管不良事件和左心室射血分数。

结论

本拟开展的系统评价将评估不同类型DSI在治疗PCI术后CHD患者方面的不同优势。

注册信息

PROSPERO(注册号:CRD42018092705)。

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