高压氧气疗法在性克罗恩病中的有效性和安全性:系统性审查和元分析
Amr Dokmak1, Benjamin Sweigart2, Nayantara S Orekondy3
1Department of Hospital Medicine, Catholic Medical Center, Manchester, NH.
高压氧气疗法 (HBOT) 显示出治疗裂性克罗恩病 (CD) 的前景. 这次审查发现,HBOT是安全有效的,在型中具有很高的临床响应率.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 炎症性肠病 (IBD) 涉及慢性炎症.
- 卷性克罗恩病 (CD) 带来了复杂的治疗挑战.
- 高压氧疗法 (HBOT) 调节炎症并增强组织氧化.
研究的目的:
- 系统地审查和元分析HBOT在化CD的疗效和安全性.
- 在接受HBOT的患者中量化临床反应和缓解率.
- 评估与CD中HBOT相关的安全概况和不良事件.
主要方法:
- 在EMBASE,科学网络,PubMed和Cochrane图书馆进行系统的文献搜索.
- 包括16项研究,涉及164名被诊断患有抽性CD的患者.
- 使用Cochrane手册指南和PRISMA标准评估研究偏差.
主要成果:
- 在所有子亚型中,联合临床应答率为87%,临床缓解率为59%.
- 围 (89%) 和皮内 (84%) 囊的响应率很高;直阴 (29%) 的响应率较低.
- 低的聚合不良事件率 (51.7每10,000次);在研究中确定了偏差风险.
结论:
- HBOT是一种安全且潜在有效的治疗方法.
- 需要进一步进行高质量的随机对照试验,以确认HBOT的益处.
- HBOT为管理复杂的CD囊提供了一个有前途的治疗途径.
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