[1]吴美桦,郜俊清.肺静脉隔离术联合肾动脉去交感神经术临床治疗心房颤动meta分析[J].介入放射学杂志,2021,30(01):9-13.
　WU Meihua,GAO Junqing..Pulmonary vein isolation combined with renal artery denervation for the treatment of atrial fibrillation： a meta analysis[J].journal interventional radiology,2021,30(01):9-13.
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肺静脉隔离术联合肾动脉去交感神经术临床治疗心房颤动meta分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年01
页码:
9-13
栏目:
心脏介入
出版日期:
2021-01-25

文章信息/Info

Title:
Pulmonary vein isolation combined with renal artery denervation for the treatment of atrial fibrillation： a meta analysis
作者:
吴美桦;  郜俊清
Author(s):
WU Meihua;  GAO Junqing.
Department of Cardiology， Putuo District Central Hospital， Shanghai 200062， China
关键词:
【关键词】 心房颤动;  复发;  肺静脉隔离术;  肾动脉去交感神经术
文献标志码:
A
摘要:
【摘要】 目的 评价肺静脉隔离术（PVI）联合肾动脉去交感神经术（RDN）治疗心房颤动（房颤）的有效性。方法 计算机检索Pubmed、Cochrane Library、中国学术期刊（CNKI）、万方和维普等数据库2009年1月至2020年2月收录的PVI联合RDN治疗房颤的临床随机对照研究文献。采用RevMan 5.3软件进行meta分析。结果 纳入6篇临床随机对照试验研究文献共654例患者。Meta分析结果显示，术后12个月接受PVI联合RDN治疗组房颤患者房颤复发风险与单纯PVI治疗组（对照组）相比显著降低（OR=0.40，95%CI=0.29～0.56，P＜0.000 1）；诊室血压平均收缩压与对照组相比降低12.21 mmHg（1 mmHg=0.133 kPa，95%CI=-12.22～-12.21，P＜0.000 1），平均舒张压降低8.84 mmHg（95%CI=-8.84～-8.83，P＜0.000 1）；动态血压平均收缩压与对照组相比下降3.37 mmHg（95%CI=-3.38～-3.35，P＜0.000 1），平均舒张压降低1.38 mmHg（95%CI=-1.40～-1.37，P＜0.000 1）。 结论 PVI 联合RDN治疗房颤患者与单纯PVI治疗相比，有更低的房颤复发率，且可降低患者血压。

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备注/Memo

备注/Memo:
（收稿日期：2020- 05- 08）
（本文编辑：边 佶）
更新日期/Last Update: 2021-01-25