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抗血小板剂对腹腔大动脉动脉瘤过程的影响:系统性审查和元分析
Yang Yang1,2, Chang Li1, Zhi-Yuan Wu1,2
1Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, 100010 Beijing, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
抗血小板剂不会影响腹腔大动脉动脉瘤 (AAA) 的生长或破裂. 这次审查没有发现这些药物减缓患者的AAA直径扩张的证据.
科学领域:
- 心血管研究研究心血管研究
- 血管外科 血管外科
- 药理学 药理学是指药理学的学科.
背景情况:
- 腹腔大动脉瘤 (AAA) 是一种危及生命的疾病,其特征是大动脉扩张.
- 抗血小板药物通常被处方,但它们在AAA管理中的作用尚不清楚.
研究的目的:
- 系统地审查和元分析抗血小板剂与AAA进展 (减少,扩张,破裂) 之间的关联.
主要方法:
- 在2023年3月之前对EMBASE,Ovid,PubMed和Scopus数据库进行系统审查.
- 对13项涉及5392名患者的研究进行了元分析.
- 使用R软件v.4.1.1.进行的统计分析.
主要成果:
- 抗血小板和对照组之间的AAA直径年增长率没有显著差异 (MD = -0.04,95%CI = [-0.37,0.30]).
- 两组之间动脉瘤直径扩张没有显著差异 (OR = 0.96,95% CI = [0.41,2.25]).
- 在这两种分析中都观察到高度的异质性.
结论:
- 抗血小板剂不会影响AAA的减少,扩张或破裂.
- 目前的证据表明,抗血小板治疗对减缓AAA囊径增长没有益处.
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