目的通过自身免疫性肝炎二线药物相关文献的系统性回顾及Meta分析探讨药物的有效性和安全性。方法计算机检索PubMed、EMBASE、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普数据库等公开发表...目的通过自身免疫性肝炎二线药物相关文献的系统性回顾及Meta分析探讨药物的有效性和安全性。方法计算机检索PubMed、EMBASE、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普数据库等公开发表的关于自身免疫性肝炎二线药物治疗的研究文献,时间截至2019年12月31日。对纳入的文献采用纽卡斯尔-渥太华量表进行文献质量评价,提取相关数据,采用Meta-Analyst统计软件进行Meta分析。结果纳入22篇文献,共计636例患者。Meta分析结果显示,吗替麦考酚酯(MMF)、他克莫司(TAC)、环孢素(CsA)及布地奈德(BUD)的汇总应答率分别为56.1%、76.0%、62.7%、57.3%,汇总的不良反应发生率分别为22.5%、47.4%、48.4%、33.0%。将应用MMF的患者按照一线治疗不耐受和一线治疗无应答进行分组比较,相对危险度为1.965,95%可信区间为1.181~3.269,异质性检验I2=0.665,P=0.014。结论对于成人自身免疫性肝炎患者的二线药物治疗选择,结合应答率及不良反应发生率,MMF和TAC均是较好的选择,而对一线治疗无应答的患者,TAC可能是更优的选择。展开更多
During the COVID-19 epidemic,Wuhan city had the hardest hit in China.The treatment capacity of the local medical system exceeded due to the rapid growth of COVID-19 cases.As a result,a considerable part of diagnosed p...During the COVID-19 epidemic,Wuhan city had the hardest hit in China.The treatment capacity of the local medical system exceeded due to the rapid growth of COVID-19 cases.As a result,a considerable part of diagnosed patients could not be admitted to hospitals for isolation and treatment in time,causing the risk of spreading in the community.To effectively achieve the goals of controlling the source of infection by cutting off the transmission route,increasing the cure rate and reducing the mortality rate,Wuhan has reconstructed several makeshift hospitals based on large public places.展开更多
基金Supported by Henan Provincial Science and Technology Major Project(No.221100110100)Natural Science Foundation of Henan Province(No.212300410015)+1 种基金Zhongyuan Talents Program(No.ZYQR201912157)Henan Provincial Department of Science and Technology Research Project(No.222102110077)。
文摘目的通过自身免疫性肝炎二线药物相关文献的系统性回顾及Meta分析探讨药物的有效性和安全性。方法计算机检索PubMed、EMBASE、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普数据库等公开发表的关于自身免疫性肝炎二线药物治疗的研究文献,时间截至2019年12月31日。对纳入的文献采用纽卡斯尔-渥太华量表进行文献质量评价,提取相关数据,采用Meta-Analyst统计软件进行Meta分析。结果纳入22篇文献,共计636例患者。Meta分析结果显示,吗替麦考酚酯(MMF)、他克莫司(TAC)、环孢素(CsA)及布地奈德(BUD)的汇总应答率分别为56.1%、76.0%、62.7%、57.3%,汇总的不良反应发生率分别为22.5%、47.4%、48.4%、33.0%。将应用MMF的患者按照一线治疗不耐受和一线治疗无应答进行分组比较,相对危险度为1.965,95%可信区间为1.181~3.269,异质性检验I2=0.665,P=0.014。结论对于成人自身免疫性肝炎患者的二线药物治疗选择,结合应答率及不良反应发生率,MMF和TAC均是较好的选择,而对一线治疗无应答的患者,TAC可能是更优的选择。
文摘During the COVID-19 epidemic,Wuhan city had the hardest hit in China.The treatment capacity of the local medical system exceeded due to the rapid growth of COVID-19 cases.As a result,a considerable part of diagnosed patients could not be admitted to hospitals for isolation and treatment in time,causing the risk of spreading in the community.To effectively achieve the goals of controlling the source of infection by cutting off the transmission route,increasing the cure rate and reducing the mortality rate,Wuhan has reconstructed several makeshift hospitals based on large public places.