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多巴酚丁胺与左西孟旦治疗脓毒症性心功能不全的比较:系统评价和荟萃分析方案。

Comparison of dobutamine and levosimendan for treatment of sepsis-induced cardiac dysfunction: A protocol for systematic review and meta-analysis.

机构信息

Department of Emergency, Taizhou Hospital of Zhejiang Province, Zhejiang Province, China.

出版信息

Medicine (Baltimore). 2022 Mar 18;101(11). doi: 10.1097/MD.0000000000029092.

Abstract

BACKGROUND

Levosimendan and dobutamine are extensively used to treat sepsis-induced cardiomyopathy. Previous studies on whether levosimendan is superior to dobutamine are still controversial. We performed a protocol for systematic review and metaanalysis to compare the efficacy and safety of levosimendan versus dobutamine for the treatment of sepsis-induced cardiomyopathy.

METHODS

This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol statement. We will search the following databases: PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang Database, Weipu Journal Database, and Chinese Biomedical Literature Database. The search time will be set from database establishment to February 2022. After literature screening, 2 reviewers will extract data from the respects of general information, methodology, and results. Risk of bias is assessed using the Cochrane Risk of Bias Tool for randomized controlled trials. We will apply RevMan 5.4 software for statistical analysis.

RESULTS

The results will be submitted to a peer-reviewed journal once completed.

CONCLUSION

Septic patients with myocardial dysfunction may partly benefit from levosimendan than dobutamine, mainly embodied in cardiac function improvement.

摘要

背景

左西孟旦和多巴酚丁胺被广泛用于治疗脓毒症性心肌病。关于左西孟旦是否优于多巴酚丁胺的先前研究仍存在争议。我们制定了一项系统评价和荟萃分析方案,以比较左西孟旦与多巴酚丁胺治疗脓毒症性心肌病的疗效和安全性。

方法

本方案遵循系统评价和荟萃分析的首选报告项目声明。我们将检索以下数据库:PubMed、Embase、Web of Science、Cochrane 图书馆、中国知网、万方数据库、维普期刊数据库和中国生物医学文献数据库。检索时间设定为从数据库建立到 2022 年 2 月。经过文献筛选,2 名评审员将从一般信息、方法学和结果等方面提取数据。使用 Cochrane 偏倚风险工具评估随机对照试验的偏倚风险。我们将应用 RevMan 5.4 软件进行统计分析。

结果

完成后,结果将提交给同行评议期刊。

结论

心肌功能障碍的脓毒症患者可能部分受益于左西孟旦而非多巴酚丁胺,主要表现在心功能改善方面。

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Efficacy of Levosimendan in the Treatment of Patients With Severe Septic Cardiomyopathy.左西孟旦治疗重度感染性心肌病患者的疗效
J Cardiothorac Vasc Anesth. 2023 Mar;37(3):344-349. doi: 10.1053/j.jvca.2022.10.032. Epub 2022 Nov 6.

本文引用的文献

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Levosimendan for the Prevention of Acute Organ Dysfunction in Sepsis.左西孟旦用于预防脓毒症急性器官功能障碍
N Engl J Med. 2016 Oct 27;375(17):1638-1648. doi: 10.1056/NEJMoa1609409. Epub 2016 Oct 5.

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