目的搜集现有文献证据对颈总动脉峰流速变异(Peak velocity variation of common carotid artery,△Vpeak-CA)对机械通气状态下患者容量反应状态的诊断价值进行系统评价。方法全面检索中国知网全文数据库(China National Knowledge Infr...目的搜集现有文献证据对颈总动脉峰流速变异(Peak velocity variation of common carotid artery,△Vpeak-CA)对机械通气状态下患者容量反应状态的诊断价值进行系统评价。方法全面检索中国知网全文数据库(China National Knowledge Infrastructure,CNKI),PubMed,Embase,the Cochrane Database数据库,检索时限为建库至2017-08月。纳入符合要求的评估△Vpeak-CA对机械通气状态下患者容量反应状态诊断价值的临床对照试验,采用随机效应模型计算合并灵敏度、特异度、诊断比值比(95%CI),绘制受试者工作曲线,计算曲线下面积。运用QUADAS-2进行文献质量评价。结果研究共纳入4篇文献,其中包括194例患者。Meta分析显示合并灵敏度、特异度、诊断比值比分别为0.85(95%CI为0.77~0.92),0.86(95%CI为0.77~0.92),38.54(95%CI为16.69~89.00),受试者工作特征曲线下面积(the area under the receiver operating characteristic curve,AUROC)为0.93,各研究间无异质性(P=0.98,I2=0)。结论目前证据显示△Vpeak-CA对机械通气状态下患者容量反应状态具有较高诊断价值,值得进一步探究。展开更多
Objective： To observe the clinical efficacy of combined massage and traction technique in the treatment of cervical spondylosis of vertebral artery type （CSA）. Methods： Ninety-eight cases of cervical spondylosis o...Objective： To observe the clinical efficacy of combined massage and traction technique in the treatment of cervical spondylosis of vertebral artery type （CSA）. Methods： Ninety-eight cases of cervical spondylosis of vertebral artery type were randomized into two groups, a treatment group in which 50 cases were treated by traditional massage and traction technique, and a control group in which 48 cases were treated by traditional massage. Results： After treatment, the mean velocity （Vm） of vertebral artery （VA） and basilar artery （BA） were improved markedly in the treatment group （P〈0.05）; and there was a significant difference between the two groups after treatment （P〈0.01）. In the treatment group, 17 cases were cured and 22 cases obviously improved; and the rate of cure and marked effective was 78.0%, the total effective rate was 98.0%. In the control group, 8 cases were cured and 10 cases obviously improved, the rate of cure and marked effective was 37.5% and the total effective rate was 89.6%. There was a significant difference in the rate of cure and marked effective between the two groups （P〈0.01）. Conclusion： Combined massage and traction technique has better results than single traditional massage in the treatment of CSA.展开更多
文摘目的搜集现有文献证据对颈总动脉峰流速变异(Peak velocity variation of common carotid artery,△Vpeak-CA)对机械通气状态下患者容量反应状态的诊断价值进行系统评价。方法全面检索中国知网全文数据库(China National Knowledge Infrastructure,CNKI),PubMed,Embase,the Cochrane Database数据库,检索时限为建库至2017-08月。纳入符合要求的评估△Vpeak-CA对机械通气状态下患者容量反应状态诊断价值的临床对照试验,采用随机效应模型计算合并灵敏度、特异度、诊断比值比(95%CI),绘制受试者工作曲线,计算曲线下面积。运用QUADAS-2进行文献质量评价。结果研究共纳入4篇文献,其中包括194例患者。Meta分析显示合并灵敏度、特异度、诊断比值比分别为0.85(95%CI为0.77~0.92),0.86(95%CI为0.77~0.92),38.54(95%CI为16.69~89.00),受试者工作特征曲线下面积(the area under the receiver operating characteristic curve,AUROC)为0.93,各研究间无异质性(P=0.98,I2=0)。结论目前证据显示△Vpeak-CA对机械通气状态下患者容量反应状态具有较高诊断价值,值得进一步探究。
文摘Objective： To observe the clinical efficacy of combined massage and traction technique in the treatment of cervical spondylosis of vertebral artery type （CSA）. Methods： Ninety-eight cases of cervical spondylosis of vertebral artery type were randomized into two groups, a treatment group in which 50 cases were treated by traditional massage and traction technique, and a control group in which 48 cases were treated by traditional massage. Results： After treatment, the mean velocity （Vm） of vertebral artery （VA） and basilar artery （BA） were improved markedly in the treatment group （P〈0.05）; and there was a significant difference between the two groups after treatment （P〈0.01）. In the treatment group, 17 cases were cured and 22 cases obviously improved; and the rate of cure and marked effective was 78.0%, the total effective rate was 98.0%. In the control group, 8 cases were cured and 10 cases obviously improved, the rate of cure and marked effective was 37.5% and the total effective rate was 89.6%. There was a significant difference in the rate of cure and marked effective between the two groups （P〈0.01）. Conclusion： Combined massage and traction technique has better results than single traditional massage in the treatment of CSA.
