摘要
目的借助循证医学的方法为老年单纯收缩期高血压患者确定治疗目标及治疗方案。方法在充分评估患者病情的基础上,根据PICO原则,提出临床问题并转换成便于检索的形式,检索Cochrane图书馆(2008年第1期)、MEDLINE(PubMed 1990年1月至2008年1月)和SUMsearch(1990年1月至2008年1月)等数据库,查找与老年单纯收缩期高血压治疗相关的系统评价和随机对照试验,并对相关证据进行评价。结果共检索出与不同问题相关的随机对照试验59篇,系统评价或Meta分析17篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。经1年随访证实,该方案适合患者。结论采取循证治疗的方法,为确诊的老年单纯收缩期高血压患者制定合理的治疗目标和治疗方案,可有效提高治疗效果。
Objective To formulate an evidence-based treatment plan for an elderly patient with isolated systolic hypertension. Methods Based on an adequate assessment of the patient＇s condition and using the principle of PICO, we searched for systematic reviews and randomized controlled trials in The Cochrane Library（Issue 1, 2008）, MEDLINE （PubMed, January 1990 to January 2008） and SUMsearch （January 1990 to January 2008）, and evaluated the evidence. Results A total of 59 RCTs, and 17 systematic reviews were identified.A rational treatment plan was made upon a serious evaluation of the data. After one year follow-up, the plan was proved optimal. Conclusion Evidence- based approaches help us to prepare the most appropriate therapy plan for this patient and will help to improve the therapeutic effects for patients with isolated systolic hypertension.
出处
《循证医学》
CSCD
2009年第2期105-109,共5页
The Journal of Evidence-Based Medicine
关键词
单纯收缩期高血压
随机对照试验
系统评价
循证治疗
isolated systolic hypertension
randomized controlled trials
systematic review
evidence-based treatment
