在接受心脏手术的成年人进行手术前的他类药物治疗
Miguel Marques Antunes1,2, Afonso Nunes-Ferreira3, Gonçalo S Duarte4,5
1Centro Cardiovascular da Universidade de Lisboa - CCUL@RISE, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
The Cochrane database of systematic reviews
|July 22, 2024
概括
术前的他类药物治疗对接受心脏手术的患者几乎没有益处或危害. 与标准护理相比,本次更新的综述没有发现死亡率,主要心血管不良事件或其他结果有显著差异.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 基于证据的医学基于证据的医学.
背景情况:
- 心脏手术患者面临术后不良事件的风险增加.
- 众所周知具有抗炎和抗氧化特性的他类药物,正在研究外科手术期间的益处.
- 这次审查更新了2012年和2015年的先前分析.
结论:
- 在选择性心脏手术中使用手术前的他类药物表明没有明确的临床益处或危害.
- 对各种结果的证据确定性范围从中等到非常低.
- 未来的研究应该专注于他类药物对死亡率和主要心血管不良事件的影响.
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