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在莫亚莫亚病的抗血小板治疗:一个系统的审查
Naruchorn Kijpaisalratana1,2,3, Chanon Ariyaprakai4, Kitiporn Sriamornrattanakul4
1Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
对莫亚莫亚病 (MMD) 的抗血小板治疗没有显示出对缺血性中风的保护作用. 然而,它不会增加MMD患者出血性中风的风险.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 临床试验 临床试验
背景情况:
- 莫亚莫亚病 (MMD) 是一种罕见的脑血管疾病,导致中风.
- 抗血小板治疗在MMD中经常使用,尽管有效性的证据有限.
- 本综述评估了抗血小板治疗对MMD临床结果的影响.
研究的目的:
- 系统地审查关于抗血小板治疗对莫亚莫亚病的疗效的证据.
- 评估抗血小板治疗与MMD患者的各种临床结果之间的关联.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus,Cochrane Library) 进行了全面的文献搜索,截至2022年2月.
- 包括检查抗血小板治疗和结果的研究,如缺血/出血性中风,功能状态,存活率和绕道移植通透性.
主要成果:
- 分析了八项研究. 大多数发现抗血小板剂对缺血性中风没有显著的保护作用.
- 在使用抗血小板药物时,没有观察到出血性中风的风险增加.
- 关于功能结局和绕道移植通透性的证据是不确定的; 一项研究表明生存益处.
结论:
- 目前的证据不支持抗血小板治疗以预防莫亚莫亚病的缺血性中风.
- 在MMD中,抗血小板治疗对于出血性中风风险似乎是安全的.
- 需要高质量的随机对照试验来澄清治疗疗效.
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