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卷曲霉素对比链霉素治疗复治、耐药肺结核的系统评价

余文韬 吴斌 吴逢波 唐尧

中国药房2011,Vol.22Issue(42):3984-3987,4.
中国药房2011,Vol.22Issue(42):3984-3987,4.

卷曲霉素对比链霉素治疗复治、耐药肺结核的系统评价

Systematic Review of Capreomycin vs.Streptomycin in the Treatment of Relapsing Drug-resistance Tuberculosis

余文韬 1吴斌 1吴逢波 1唐尧1

作者信息

  • 1. 四川大学华西医院药剂科,成都市610041
  • 折叠

摘要

Abstract

OBJECTIVE: To evaluate the effectiveness and safety of capreomycin vs. Streptomycin in the treatment of relapsing drug-resistance tuberculosis by evidence-based medicine. METHODS: Literatures were retrieved from Cochrane Library, PubMed, EM-BASE, CBM, CNKI, VIP, Wangfang databases by computer. Literatures were enrolled according to including criteria and excluding criteria, the quality were evaluated and Meta-analysis was conducted by RevMan 5.0 software. RESULTS: Meta-analysis of 8 included RCTs showed that the sputum culture conversion rate, focus absorption rate, cavity change rate in capreomycin group were significantly better than in streptomycin group, there was statistical significance (P<0.05). There was no statistical significant difference in the incidence of adverse drug reactions, and difference hadn't been found in two groups. CONCLUSION: The analysis indicates that capreomycin combined with other antituberculosis is better than combined use of streptomycin in the treatment of relapsing drug-resistance tuberculosis. Because of the limit of quality and quantity of included literatures, large-scale high-quality RCTs are required for validation.

关键词

卷曲霉素/链霉素/复治/耐药/肺结核/系统评价

Key words

Capreomycin/ Streptomycin/ Relapsing/ Drug-resistance/ Tuberculosis/ Systematic review

分类

医药卫生

引用本文复制引用

余文韬,吴斌,吴逢波,唐尧..卷曲霉素对比链霉素治疗复治、耐药肺结核的系统评价[J].中国药房,2011,22(42):3984-3987,4.

中国药房

OACSCDCSTPCD

1001-0408

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