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纸质出版:2014
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刘波,吕建峰,粟治洲,王刚,任梦宇,周亮,迟路湘.动脉粥样硬化性肾动脉狭窄传统危险因素的Meta分析[J].陆军军医大学学报(原第三军医大学学报),2014,36(19):2037-2043.
Liu Bo,Lyu Jianfeng,Su Zhizhou,Wang Gang,Ren Mengyu,Zhou Liang,Chi Luxiang.Traditional risk factors of atherosclerotic renal artery stenosis: a meta-analysis[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2037-2043.
刘波,吕建峰,粟治洲,王刚,任梦宇,周亮,迟路湘.动脉粥样硬化性肾动脉狭窄传统危险因素的Meta分析[J].陆军军医大学学报(原第三军医大学学报),2014,36(19):2037-2043. DOI:
Liu Bo,Lyu Jianfeng,Su Zhizhou,Wang Gang,Ren Mengyu,Zhou Liang,Chi Luxiang.Traditional risk factors of atherosclerotic renal artery stenosis: a meta-analysis[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2037-2043. DOI:
目的 系统评价动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS )的传统危险因素间危险强度的差异。 方法 通过计算机文献检索PubMed、EMBASE、Cochrane图书馆、Web of science、CNKI、万方数据库、VIP、CBM,检索自建库至2013年10月发表的所有关于动脉粥样硬化性肾动脉狭窄危险因素的病例对照研究,由2名研究者通过双人独立评审的方式按照排除标准进行筛选文献并提取资料,采用RevMan 5.2统计软件进行Meta分析。 结果 共纳入17篇文献,显示女性、高血压、血脂异常、糖尿病、冠状动脉左主干病变与ARAS有关,其OR(95%CI)分别为1.31(1.21,1.42)、2.42(2.18,2.67)、1.55(1.18,2.05)、1.44(1.31,1.58)、1.86(1.46,2.37),收缩压与ARAS有关,其SMD(95%CI)值为11.08(5.01,17.16);而舒张压则与ARAS关系不大,舒张压SMD(95%CI)为1.46(-3.19,6.10)。 结论 女性、高血压、血脂异常、糖尿病、冠状动脉左主干病变、收缩压是动脉粥样硬化性肾动脉狭窄的危险因素,还不能认为舒张压对ARAS的发病有影响。
Objective To systematically evaluate the differences of the danger intensity among traditional risk factors for atherosclerotic renal artery stenosis (ARAS). Methods We gathered all case-control studies about risk factors for ARAS in the following databases: PubMed
EMBASE
The Cochrane library
CNKI
Wanfang
VIP
CBM until October 14
2013. According to exclude standards
2 reviewers extracted all relevant data from the screened documents independently
and then the extracted date were analyzed by using RevMan 5.2 software. Results Seventeen trials were included in the meta-analysis. Meta-analysis showed that: female
hypertension
dyslipidemia
diabetes and the disease of left main coronary artery had relationship with ARAS. Their pooled OR and 95%CI were 1.31 (1.21
1.42)
2.42 (2.18
2.67)
1.55 (1.18
2.05)
1.44 (1.31
1.58)
and 1.86 (1.42
2.37) respectively. Systolic blood pressure also had relationship with ARAS
its SMD’s 95%CI was 11.08 (5.01
17.16). But diastolic blood pressure seemed to have little relationship with ARAS
with its SMD’s 95%CI of 1.46 (-3.19
6.10). Conclusion Traditional factors like female
hypertension
dyslipidemia
diabetes
the disease of left main coronary artery and systolic blood pressure are risk factors for ARAS
but diastolic blood pressure have not be considered to having an effect on the incidence of ARAS.
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