摘要
目的：评价急性失代偿心力衰竭（ADHF）患者肺栓塞的发生率。方法全面检索截至2014年8月的Pubmed数据库（1966年-）、Embase数据库（1974年-）、中国生物医学文献数据库（1978年-）、中国期刊全文数据库（1979年-）及维普数据库（1989年-）,查找研究ADHF患者肺栓塞发生率的文献,采用Stata12.0版统计软件进行meta分析。结果在检索到的4370篇文献中,共有3篇符合纳入标准（3篇英文文献）。共纳入389例患者,其中肺栓塞31例。报道的ADHF患者肺栓塞发生率为5.0%-11.8%,Meta分析合并发生率为7.6%（95%CI=4.0%-11.2%）。结论ADHF患者中肺栓塞发生率较高,在临床诊治中应予以重视。
Objective To evaluate the incidence of pulmonary embolism in patients with acute decompensated heart failure （ADHF ）. Methods Literatures on the incidence of pulmonary embolism in patients with acute decompensated heart failure in PubMed （1966-）,Embase （1974-）,Chinese Biomedical Literature Database （1978-）, Chinese Journal Full Text Database （1979-）and VIP Database （1989-）until August 2014 were comprehensively searched.Meta-analysis was conducted using Stata version 12.0 software.Results Among the 4370 articles identified,only 3 studies in English met the inclusion criteria.389 patients were included,among which 31 patients were diagnosed as pulmonary embolism.The incidence of pulmonary embolism ranged from 5.0% to 1 1.8%.Meta-analysis showed that the combined incidence was 7.6% （95% CI = 4.0%-1 1.2% ）.Conclusion The incidence of pulmonary embolism in patients with ADHF is high.Thus,more attention should be paid on this population in clinical diagnosis and treatment.
出处
《临床荟萃》
CAS
2014年第11期1213-1216,共4页
Clinical Focus
关键词
肺栓塞
心力衰竭
发病率
META分析
pulmonary embolism
heart failure
incidence
meta-analysis
