高压氧气治疗的不良影响:系统性审查和元分析
Yuyao Zhang1, Yijun Zhou1, Yuanyuan Jia1
1School of Rehabilitation Medicine, Nanjing Medical University, Nanjing, Jiangsu, China.
高压氧气疗法 (HBOT) 增加了副作用,特别是耳朵不适,当室内压力超过2.0ATA或治疗超过10次时. 仔细考虑这些因素对于安全的临床应用至关重要.
科学领域:
- 临床医学 临床医学
- 氧气疗法是一种氧气疗法.
- 不良事件监测不良事件监测
背景情况:
- 高压氧疗法 (HBOT) 是一种常见的临床治疗方法.
- 与HBOT相关的不良影响可能会限制其临床应用.
- 需要进行系统审查和元分析来评估HBOT的不良影响.
研究的目的:
- 系统地审查和元分析高压氧疗法 (HBOT) 的不良影响.
- 为HBOT的安全临床应用提供理论基础.
主要方法:
- 综合搜索PubMed,科学网和可克兰库的RCT (2012年3月至2022年10月).
- 两名审查员对符合条件的研究进行独立选和质量评估.
- 使用RevMan 5.3.3进行的元分析.
主要成果:
- 分析了24个涉及1497名参与者的RCT.
- 在HBOT组报告的副作用显著增加 (30.11%对10.43%,p <0.05).
- 耳部不适是最常见的副作用;在>10次会议和压力>2.0ATA时,观察到的副作用的发生率更高.
结论:
- HBOT与增加的不良影响有关,特别是在室内压力高于2.0 ATA时.
- 超过10次的治疗疗程可能会导致副作用的发生率更高.
- 对HBOT的临床应用需要仔细注意压力和治疗时间,以减轻风险.
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