循证医学的临床实践:不稳定性心绞痛的治疗评价

Evaluation of the Treatment Methods for Unstable Angina Pectoris: Clinical Practice of Evidence Based Medicine(EBM)

不稳定性心绞痛是急性冠脉综合征 (ACS)的重要表现类型之一 ,及时和有效的治疗干预可以缓解症状 ,减少或避免心脏性猝死、急性心肌梗塞等严重心血管事件的发生。本文通过对近年Cochrane图书馆 (CL)、循证医学评价数据库 (EBMR)和相关循证医学杂志 (EBM)的检索 ,对国际上近年来有关不稳定性心绞痛治疗措施的系统评价 (SR)或临床随机对照试验 (RCT)结果作一简要概括 ,并进行初步评价。

Unstable angina pectoris(UAP)is the important manifestation of acute coronary syndrome(ACS).An appropriate treatment could have the efficacy not only in releasing the patients from symptoms of UAP but also in reducing or avoiding cardiac death or acute myocardial infarction.The paper Briefly summarized the major systematic reviews(SR)and clinical randomized control trials(RCT)on treatment of UAP by searching literature from Cochrane Library,Evidence Based Medicine Reviews and Clinical Evidence.We also have assessed the results of the SR and RCT.