[1]王文轩,杨汉丰,杜 勇,等.臭氧与胶原酶治疗腰椎间盘突出症的荟萃分析[J].介入放射学杂志,2013,(01):40-045.
 WANG Wen? xuan,YANG Han? feng,DU Yong,et al. A meta?蛳 analysis of the effectiveness of ozone and collagenase treatments for herniated lumbar discs[J].journal interventional radiology,2013,(01):40-045.
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臭氧与胶原酶治疗腰椎间盘突出症的荟萃分析 ()

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

卷:
期数:
2013年01期
页码:
40-045
栏目:
非血管介入
出版日期:
2013-01-25

文章信息/Info

Title:
 A meta?蛳 analysis of the effectiveness of ozone and collagenase treatments for herniated lumbar discs
作者:
 王文轩 杨汉丰 杜 勇 徐晓雪 李 杨 李 兵 黄亚勇 肖应权 冯 琳
Author(s):
 WANG Wen?蛳 xuan YANG Han?蛳 feng DU Yong XU Xiao?蛳 xue LI Yang LI Bing HUANG Ya?蛳 yong XIAO Ying?蛳 quan FENG Lin.
 Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong City, Sichuan Province 637000, China
关键词:
 【关键词】 椎间盘突出症 臭氧 胶原酶 治疗 荟萃分析
文献标志码:
A
摘要:
 【摘要】 目的 比较臭氧与胶原酶治疗腰椎间盘突出症(LDH)的治疗效果,为临床合理选择治疗方式提供循证医学依据。方法 计算机检索PubMed、CENTRAL、EMbase、the ISI Web of Knowledge Databases、VIP、CNKI、CBM和万方数据库,查找所有比较臭氧和胶原酶治疗LDH的随机(RCT)或半随机对照试验(CCT),检索时限均为建库至2012年5月31日,同时手检纳入文献的参考文献。按纳入排除标准由2名医师独立进行文献的筛选、资料提取和质量评价后,采用STATA11.0软件进行荟萃分析。结果 共纳入8个研究,897例患者。荟萃分析结果显示:① 臭氧对胶原酶的有效率:相对危险度(RR) = 1.03,95%CI(0.90,1.18),差异无统计学意义(P = 0.684);② 臭氧对胶原酶优良率:RR = 1.02,95%CI(0.91,1.15),P = 0.694,差异无统计学意义;③ 臭氧对胶原酶VAS评分:MD = 0.08,95%CI(-0.47,0.63),差异无统计学意义(P = 0.783)。基于系统评价结果,采用GRADE系统推荐分级方法评价证据质量及推荐等级,结果显示,证据水平均为低级,推荐强度为弱推荐。结论 现有证据提示,对于LDH的治疗,臭氧与胶原酶具有相似的治疗效果。

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备注/Memo:
 (收稿日期:2012-07-06)
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