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乌司他丁治疗重症急性胰腺炎患者的疗效

Efficacy of ulinastatin for the treatment of patients with severe acute pancreatitis.

作者信息

Yao Jian-Hui, Li Wei-Min

机构信息

Department of Critical Care Medicine.

Department of Emergency, Yulin No.1 Hospital, Yulin, China.

出版信息

Medicine (Baltimore). 2019 Oct;98(43):e17644. doi: 10.1097/MD.0000000000017644.

DOI:10.1097/MD.0000000000017644
PMID:31651883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6824665/
Abstract

BACKGROUND

The aim of this study is to explore the efficacy and safety of ulinastatin for the treatment of patients with severe acute pancreatitis (SAP).

METHODS

We will search randomized controlled trials which assess the efficacy and safety of ulinastatin for patients with SAP from the electronic databases of Cochrane Library, MEDILINE, EMBASE, CINAHL, PsycINFO, Scopus, CBM, Wangfang, VIP, and CNKI. All electronic databases will be searched from inception to the present with no limitations of language and publication status. Two researchers will carry out study selection, data extraction, and study quality assessment independently. Another researcher will help to resolve any disagreements between 2 researchers.

RESULTS

The outcomes include overall mortality, time of hospital stay, complications of systematic or local infection, multiple organ deficiency syndrome, health related quality of life (as measured as the 36-Item Short Form Health Survey), and adverse events related to nutrition.

CONCLUSION

This study will provide evidence to evaluate the efficacy and safety of ulinastatin in the treatment of patients with SAP.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42019149566.

摘要

背景

本研究旨在探讨乌司他丁治疗重症急性胰腺炎(SAP)患者的疗效和安全性。

方法

我们将从Cochrane图书馆、MEDILINE、EMBASE、CINAHL、PsycINFO、Scopus、中国生物医学文献数据库(CBM)、万方数据库、维普数据库和中国知网(CNKI)的电子数据库中检索评估乌司他丁治疗SAP患者疗效和安全性的随机对照试验。所有电子数据库将从建库至当前进行检索,不受语言和出版状态限制。两名研究人员将独立进行研究筛选、数据提取和研究质量评估。另一名研究人员将协助解决两名研究人员之间的任何分歧。

结果

结局指标包括总死亡率、住院时间、全身或局部感染并发症、多器官功能障碍综合征、健康相关生活质量(采用36项简短健康调查问卷衡量)以及与营养相关的不良事件。

结论

本研究将为评估乌司他丁治疗SAP患者的疗效和安全性提供证据。

系统评价注册

国际前瞻性系统评价注册库(PROSPERO)CRD42019149566。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb02/6824665/1c254e8fd243/medi-98-e17644-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb02/6824665/1c254e8fd243/medi-98-e17644-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb02/6824665/1c254e8fd243/medi-98-e17644-g002.jpg

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本文引用的文献

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2019 WSES guidelines for the management of severe acute pancreatitis.2019 WSES 急性胰腺炎严重程度分级与管理指南。
World J Emerg Surg. 2019 Jun 13;14:27. doi: 10.1186/s13017-019-0247-0. eCollection 2019.
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电针大肠俞(BL 25)、上巨虚(ST 37)联合乌司他丁治疗重症急性胰腺炎的临床观察
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[Clinical value of the early use of ulinastatin in patients with moderately severe or severe acute pancreatitis].乌司他丁早期应用于中重度急性胰腺炎患者的临床价值
Zhonghua Yi Xue Za Zhi. 2017 Apr 25;97(16):1252-1255. doi: 10.3760/cma.j.issn.0376-2491.2017.16.015.
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Severe acute pancreatitis: pathogenesis, diagnosis and surgical management.重症急性胰腺炎:发病机制、诊断及外科治疗
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Effect of Somatostatin, Ulinastatin and Gabexate on the Treatment of Severe Acute Pancreatitis.生长抑素、乌司他丁和加贝酯对重症急性胰腺炎的治疗作用
Am J Med Sci. 2016 May;351(5):506-12. doi: 10.1016/j.amjms.2016.03.013. Epub 2016 Mar 31.
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Practical Application of the Revised Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: A Case Study Approach.《成人重症患者营养支持治疗提供与评估修订指南的实际应用:病例研究法》
Nutr Clin Pract. 2016 Jun;31(3):334-41. doi: 10.1177/0884533616640451. Epub 2016 Apr 12.
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