托西菲林用于治疗静脉腿:一个系统性审查
Andrew Jull1, Jill Waters, Bruce Arroll
1Centre for Evidence Based Nursing Aotearoa, Auckland Hospital, Auckland, New Zealand. a.jull@auckland.ac.nz
Lancet (London, England)
|June 6, 2002
概括
托西菲林有助于静脉的愈合,在与压缩疗法一起使用时提供额外的好处. 这种治疗也可能对没有接受压缩的患者有效,没有报告增加的不良事件.
科学领域:
- 血管医学 血管医学
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 静脉性腿部通常需要压缩疗法,但治疗疗效因人而异.
- 辅助疗法可以改善无反应的静脉病例的结果.
研究的目的:
- 系统地审查用于静脉腿部的pentoxifylline随机对照试验.
- 与安慰剂相比,评估pentoxifylline的疗效,有或没有压缩.
主要方法:
- 对8项涉及547名成年患者的随机对照试验的系统综述.
- 分析包括试验比较pentoxifylline加压缩与安慰剂加压缩,和pentoxifylline单独与安慰剂.
- 使用了治疗意向分析.
主要成果:
- 托西菲林在静脉腿的完全治愈或显著改善方面表现出比安慰剂更大的有效性 (RR 1.49,95% CI 1.11-2.01).
- 与压缩治疗相结合的托西菲林显示,与压缩治疗的安慰剂相比,改善了完全愈合率 (RR 1.30,95% CI 1.10-1.54).
- 在pentoxifylline和安慰剂组之间,不良事件的发生率相似,轻微的胃肠道干扰是最常见的副作用.
结论:
- 托西菲林为静脉腿部的压缩疗法提供了额外的好处.
- 对那些没有接受压缩治疗的静脉腿患者来说,托西菲林可能是一个有效的治疗选择.
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