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脊髓损伤的高压氧治疗:系统评价与荟萃分析方案

Hyperbaric oxygen therapy for spinal cord injury: A protocol for systematic review and meta-analysis.

作者信息

Li Tong, Wang Yiran, Feng Chaoqun, Li Qianchun, Ran Qiang, Chen Botao, Yu Yang, Jiang Leiming, Fan Xiaohong

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, PR China.

出版信息

Medicine (Baltimore). 2020 Dec 4;99(49):e23536. doi: 10.1097/MD.0000000000023536.

DOI:10.1097/MD.0000000000023536
PMID:33285769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7717804/
Abstract

BACKGROUND

Hyperbaric oxygen (HBO) therapy can prevent further spinal cord injury (SCI) caused by spinal cord ischemia-reperfusion injury to the maximum extent, which has been reported increasingly in recent years. However its security and effectiveness still lack of high-quality medical evidence. In this study, we will perform a systematic review of previously published randomized controlled trials (RCTs) to evaluate the efficacy and safety of HBO therapy for SCI.

METHODS

All potential RCTs on HBO therapy for SCI will be searched from the following electronic databases: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, Chinese Science and Technology Periodical Database, Wanfang database and Chinese Biomedical Literature Database. We will search all electronic databases from their initiation to the September 30, 2020 in spite of language and publication date. Two contributors will independently select studies from all searched literatures, extract data from included trials, and evaluate study quality for all eligible RCTs using Cochrane risk of bias tool, respectively. Any confusion will be resolved by consulting contributor and a consensus will be reached. We will utilize RevMan 5.3 software to pool the data and to conduct the data analysis.

RESULTS

The quality of the assessments will be assessed through Grading of Recommendations Assessment, Development, and Evaluation. Data will be disseminated through publications in peer-reviewed journals.

CONCLUSION

This study will provide evidence to evaluate the efficacy and safety of HBO therapy for SCI at evidence-based medicine level.

TRIAL REGISTRATION NUMBER

INPLASY 2020100084.

摘要

背景

高压氧(HBO)疗法能最大程度预防脊髓缺血再灌注损伤所致的进一步脊髓损伤(SCI),近年来相关报道日益增多。然而,其安全性和有效性仍缺乏高质量医学证据。在本研究中,我们将对既往发表的随机对照试验(RCT)进行系统评价,以评估HBO疗法治疗SCI的疗效和安全性。

方法

将从以下电子数据库检索所有关于HBO疗法治疗SCI的潜在RCT:PubMed、Embase、Cochrane图书馆、Web of Science、中国知网、中国科技期刊数据库、万方数据库和中国生物医学文献数据库。无论语言和发表日期,我们将检索所有电子数据库自创建至2020年9月30日的文献。两名研究人员将分别从所有检索到的文献中独立选择研究,从纳入试验中提取数据,并使用Cochrane偏倚风险工具评估所有符合条件的RCT的研究质量。任何分歧将通过咨询研究人员解决并达成共识。我们将使用RevMan 5.3软件汇总数据并进行数据分析。

结果

将通过推荐分级评估、制定和评价来评估评估质量。数据将通过在同行评审期刊上发表进行传播。

结论

本研究将为在循证医学层面评估HBO疗法治疗SCI的疗效和安全性提供证据。

试验注册号

INPLASY 2020100084。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e2/7717804/d81ae9d916b2/medi-99-e23536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e2/7717804/d81ae9d916b2/medi-99-e23536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e2/7717804/d81ae9d916b2/medi-99-e23536-g001.jpg

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Diffusion tensor imaging in the evaluation of the long-term efficacy of HBO2 therapy in rats after traumatic spinal cord injury.弥散张量成像评估高压氧(HBO2)治疗创伤性脊髓损伤大鼠的长期疗效。
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The Treatment of Perioperative Spinal Cord Injury With Hyperbaric Oxygen Therapy: A Case Report.
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Hyperbaric oxygen alleviated cognitive impairments in mice induced by repeated cerebral ischemia-reperfusion injury via inhibition of autophagy.高压氧通过抑制自噬缓解反复脑缺血再灌注损伤诱导的小鼠认知障碍。
Life Sci. 2020 Jan 15;241:117170. doi: 10.1016/j.lfs.2019.117170. Epub 2019 Dec 12.
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Current Evidence Lacking to Guide Clinical Practice for Spinal Cord Stimulation in the Treatment of Neuropathic Pain in Spinal Cord Injury: A Review of the Literature and a Proposal for Future Study.目前缺乏指导脊髓刺激治疗脊髓损伤神经性疼痛的临床实践的证据:文献回顾与未来研究建议。
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