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尼可地尔对造影剂肾病预防作用的Meta分析

  

  1. 三峡大学附属仁和医院  心内科,湖北  宜昌   443000
  • 出版日期:2018-04-05 发布日期:2018-04-24
  • 通讯作者: 通信作者:周敬群,Email: jingqunzhou@163.com

Effect of nicorandil on prevention of contrastinduced nephropathy: a  metaanalysis

  1. Department of Cardiology, the Affiliated Renhe Hospital of China Three Gorges University, Yichang  443000, China
  • Online:2018-04-05 Published:2018-04-24
  • Contact: Corresponding author:Zhou Jingqun, Email: jingqunzhou@163.com

摘要: 目的  探讨尼可地尔在预防造影剂肾病(CIN)的作用。方法 检索Pubmed、Cochrane Library(2017年9期)、Embase、万方、维普及中国知网数据库中所有使用尼可地尔预防CIN的随机对照试验(RCT),检索时限均为建库至2017年9月。由2名评价员独立筛选文献、评价文章质量及提取数据。采用Revman 5.3软件进行Meta分析。结果 纳入5项研究,纳入患者805例。Meta分析显示尼可地尔能降低CIN的发生率(P=0.0002)。结论 尼可地尔对CIN的发生具有一定的预防作用。

关键词: 肾病, 造影剂, 尼可地尔, Meta分析

Abstract: ObjectiveTo investigate the effect of nicorandil on the prevention of contrastinduced nephropathy(CIN).MethodsDatabases including PubMed, Cochrane Library (Issue 9,2017),VIP,WanFang Data and CNKI were electronically searched,to collect randomized controlled trials(RCTs) about nicorandil for the prevention of CIN from inception to September 2017. Two reviewers independently screened literatures,  extracted data and assessed the risk of bias of included studies. Metaanalysis was performed using  RevMan 5.3 software. ResultsA total of  5  RCTs involving 805 patients were included. The results of metaanalysis indicated that  the incidence rate of  CIN  was  significantly decreased in the nicorandil group (P=0.0002). ConclusionCurrent evidence shows that nicorandil can reduce incidence of CIN in cardiac intervention surgery patients.

Key words: nephrosis; , contrast media; , nicorandil, Metaanalysis