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口服普萘洛尔对比激素治疗婴幼儿血管瘤临床疗效的Meta分析

王立冬 李晋福 裴周颖 张宝林

中国美容医学Issue(1):44-47,4.
中国美容医学Issue(1):44-47,4.

口服普萘洛尔对比激素治疗婴幼儿血管瘤临床疗效的Meta分析

Clinical efifcacy of oral propranolol versus corticosteroids in the treatment of infantile superifcial hemangiomas:a meta-analysis

王立冬 1李晋福 1裴周颖 1张宝林2

作者信息

  • 1. 山西医科大学第一临床医学院 山西 太原 030000
  • 2. 山西医科大学附属第一医院整形科 山西 太原 030000
  • 折叠

摘要

Abstract

Objective To assess the clinical efficacy and safety of propranolol in infantile hemangiomas by comparing with corticosteroids.MethodsSystematic literature research of Cochrane, Pubmed, Embase, SinoMed, VIP, CNKI and Wanfang Datebase. We chose "propranolol","corticosteroids","infantile hemangioma" as keywords to search randomized controlled trials(RCTs) of the effectuality and safety of propranolol versus corticosteroids in the treatment of infantile superficial hemangiomas between Jan 2008 and Jun 2013,and retrieved the references of the included literature to prevent leak investigation. The methodological quality of the ultimately included studies was assessed comprehensively, and meta-analysis was implemented using the Cochrane Collaboration's software Rev Man 5.3.Results A total of 11 RCTs involved 669 patients with superifcial hemangioma, in the experimental group which included 361 patients, they take oral propranolol ,and the control group included 308 patients, they take oral corticosteroids. A descriptive analysis of the results was presented: Compared with the effective rate, the experimental group and the control group had statistically signiifcant difference [OR=3.92,95%CI(2.77,5.5 4),P<0.00001],and the experimental group was better than the control group. Compared with the incidence of adverse reactions, the experimental group and the control group had statistically signiifcant difference [OR=0.09,95%CI(0.06,0.14),P<0.00001],and the experimental group was less than the control group.Conclusion The results indicate that oral propranolol in the treatment of infantile hemangiomas can obviously improve the efifciency and reduce the incidence of adverse reactions compared to oral corticosteroids.

关键词

婴幼儿血管瘤/普萘洛尔/激素/随机对照试验/Meta分析

Key words

infantile hemangioma/propranolol/corticosteroids/randomized controlled trial/meta-analysis

分类

医药卫生

引用本文复制引用

王立冬,李晋福,裴周颖,张宝林..口服普萘洛尔对比激素治疗婴幼儿血管瘤临床疗效的Meta分析[J].中国美容医学,2016,(1):44-47,4.

基金项目

1.山西省科技发展计划<社会发展>基金(20110313011-7);2.山西省卫生与计划生育委员会基金(2014032);3.山西医科大学第一医院院基金 ()

中国美容医学

OACSTPCD

1008-6455

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