对视网膜动脉封闭的高压氧气疗法的有效性和安全性:系统性审查和元分析
Mohamed Elfil1, Hanin Sabet2, Abdallah Abbas3
1Department of Neurology, University of Miami/Jackson Health System, Miami, FL, USA.
概括
高压氧疗法 (HBOT) 可能改善视网膜动脉封闭 (RAO) 患者的最佳校正视力敏度. 虽然通常是安全的,但需要进一步的试验来确认HBOT.
科学领域:
- 眼科医生 眼科 眼科
- 高压医学的高压医学.
背景情况:
- 视网膜动脉封闭 (RAO) 是一种影响视力的关键状况.
- 目前对RAO的治疗方法有限,需要新的治疗方法.
研究的目的:
- 系统地审查和元分析RAO的高压氧化疗 (HBOT) 的疗效和安全性.
- 评估HBOT对RAO患者视力敏度和不良事件的影响.
主要方法:
- 系统审查和元分析遵循PRISMA和Cochrane指南.
- 在RAO患者的数据库中搜索了比较HBOT与对照组的研究.
- 使用纽卡斯尔-太华尺度评估偏差风险;分析视力敏度和不良事件.
主要成果:
- 包括9项涉及499名患者的研究.
- 通过HBOT显著改善最佳校正视敏度 (BCVA) (MD: -0.63,p=0.01).
- 在HBOT中,神经血管光眼和中风的发病率有所降低,耳朵巴罗创伤等不良事件是可以控制的.
结论:
- 在RAO,特别是BCVA中,HBOT显示出增强视觉结果的前景.
- 在RAO中,HBOT的安全概况似乎是有利的.
- 由于研究异质性和样本大小限制,进一步的高质量前性试验对于确定HBOT在RAO管理中的最终作用至关重要.
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