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老年冠心病患者的循证治疗

Evidence-Based Treatment for A Patient with Coronary Heart Disease
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摘要 目的借助循证医学的方法为一位因"反复活动后心前区疼痛3月余"的老年冠心病患者制定治疗方案。方法在充分评估患者临床状况后,提出临床问题,检索Cochrane图书馆(2007年第3期)、Evidence-Based Medicine Reviews(EBMR)(1991-2005年)、MEDLINE(1991-2007年)数据库等。结果纳入冠心病治疗的随机对照试验18篇,系统评价或Meta分析8篇,根据所获证据给患者制定治疗方案。结论采用循证医学的方法,为老年冠心病患者确定合理的治疗方案,可有效提高治疗效果。 Objective Methods of evidence-based medicine were used to make an individualized treatment plan concerning diagnosed as coronary heart disease in elderly patients with the symptom of frequent chest pain after physical activity for over 3 months. Methods Alter clinical problems were put forward, we searched The Cochrane Library （Issue 3, 2007）, Evidence-Based Medicine Reviews （EMBR） （1991-2005）, and MEDLINE （1991-2007） databases, etc. Results A total of 18 randomized controlled trials, 8 systematic reviews and meta-analysis were identified. The treatment plan was developed accordingly, Conclusions The treatment efficacy in diagnosed coronary heart disease in the elderly has been improved by deterrning an individualized treatment plan according to evidence-based medicine.
作者 王挹青 甘书芬 侯淑红 陈伟斌
机构地区 福建医科大学教学医院(厦门中山医院心脏中心) 福建医科大学
出处 《循证医学》 CSCD 2009年第5期299-303,313,共6页 The Journal of Evidence-Based Medicine
关键词 冠心病 老年患者 循证治疗 coronary heart disease elderly patients evidence-based treatment
分类号 R541.4 [医药卫生—心血管疾病]
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参考文献26

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循证医学
2009年 第5期

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