相关实验视频
Updated: May 28, 2026

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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
类他类药物和脑内出血:协作系统审查和元分析
Daniel G Hackam1, Mark Woodward, L Kristin Newby
1University of Western Ontario, London, Canada. dhackam@uwo.ca
Circulation
|October 19, 2011
概括
根据对随机和观察性研究的系统审查,他类药物不会增加脑内出血的风险. 任何潜在的风险都是很小的,并被心血管的好处所抵消.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 之前的一项试验表明,他类药物可能会增加脑内出血的风险.
- 本系统性综述探讨了他类药物与脑内出血之间的关联.
研究的目的:
- 系统地审查他类药物与脑内出血风险的相关性.
- 分析随机对照试验和观察性研究的数据.
主要方法:
- 进行了对17个数据库的系统搜索,并咨询了专家.
- 来自23项随机试验和19项观察性研究的数据 (248,391名患者,14,784例出血).
- 使用随机效应模型计算总结风险比率,单独分析研究设计.
主要成果:
- 在随机试验 (RR 1.10),队列研究 (RR 0.94) 或病例对照研究 (RR 0.60) 中没有发现脑内出血的风险增加.
- 在病例对照研究 (I2=66%) 中注意到异质性,但在队列研究 (I2=0%) 或随机试验 (I2=30%) 中没有.
- 敏感性分析证实了这些发现,跨越了各种患者和研究特征.
结论:
- 没有证据支持使用他类药物和脑内出血之间的关联.
- 如果存在风险,它可能很小,并且被他类药物的显著心血管益处所抵消.
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