兰州大学学报（医学版）2017，Vol.43Issue(1)：1-8,8.DOI:10.13885/j.issn.1000-2812.2017.01.001
中心静脉导管持续引流治疗结核性胸腔积液的Meta分析
Efficacy of continuous central venous catheter drainage for tuberculous pleural effusion: a Meta-analysis
摘要
Abstract
Objective To evaluate the treatment effectiveness of continuous central venous catheter drainage of tuberculous pleural effusion.Methods We searched PubMed,Web of Science,the Cochrane Library,Chinese Biomedical Literature Database,Wanfang Database and China National Knowledge Database and other databases to find relevant research literature on continuous central venous catheter drainage and intermittent puncture in treating tuberculous pleural effusion,and retrieved information up to August 1,2016.Thereafter two reviewers,according to inclusion and exclusion criteria,independently screened the literature,extracted data and evaluated the quality of using RevMan 5.3 software for Meta-analysis.Results A total of 16 randomized controlled trials involving 1243 patients were included.The Meta-analysis showed that,compared with intermittent pleural puncture drainage,central venous catheters continuous drainage in the treatment of tuberculous pleural effusion disappeared for a short while,the antipyretic time was shorter,the total drainage of pleural effusion became more,hospitalization was shorter,the incidence ofpleural reaction lower,the incidence of iatrogenic pneumothorax lower,the incidence of pleural thickening lower,the incidence of pleural effusion formed lower,P ＜ 0.01,and the differences were statistically significant.Conclusion Continuous central venous catheter drainage of tuberculous pleural effusion can produce better results and fewer complications.关键词
中心静脉导管/胸腔穿刺抽液/结核性胸腔积液/Meta分析/随机对照试验Key words
central venous catheter/thoracentesis/tuberculous pleural effusion/Meta-analysis/randomized controlled trial分类
医药卫生引用本文复制引用
刘佳银,王立伟,赵宏,李娟芝,岳红梅,余勤..中心静脉导管持续引流治疗结核性胸腔积液的Meta分析[J].兰州大学学报（医学版）,2017,43(1):1-8,8.基金项目
中央高校基本科研业务费专项资金项目(lzujbky-2011-139) （lzujbky-2011-139）
