头孢克肟与阿莫西林克拉维酸钾治疗儿童细菌感染的Meta分析  

Meta analysis of cefixime versus amoxicillin and clavulanate potassium on children with bacterial infections

作　　者：方宝霞[1] 陈富超[1] 于琳[1] 林洁[1] 姚园林[1] 

机构地区：[1]湖北医药学院附属东风医院,湖北十堰442008

出　　处：《现代中西医结合杂志》2011年第26期3258-3260,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的评价头孢克肟与阿莫西林克拉维酸钾治疗儿童细菌感染的疗效和安全性。方法计算机检索中文科技期刊全文数据库（1989—2010）与中国生物医学文献数据库（1978—2010）,纳入头孢克肟与阿莫西林克拉维酸钾治疗儿童细菌感染的随机对照试验（RCT）文献,对纳入研究进行方法学质量评价,并采用RevMan 5.0软件进行Meta分析。结果 7篇随机对照试验,共672例患者符合纳入标准,Meta分析结果显示：头孢克肟与阿莫西林克拉维酸钾比较,痊愈率OR合并值1.66（95%CI为1.22~2.26）,Z=3.24（P=0.001）,有显著性差异;有效率OR合并值3.07（95%CI为1.94~4.86）,Z=4.80（P〈0.01）,有显著性差异。结论目前国内证据表明,头孢克肟治疗儿童细菌感染痊愈率、总有效率优于阿莫西林克拉维酸钾,但受纳入文献质量影响,以上结论需要高质量的临床证据进一步证实。Objective It is to evaluate the curative effect and safety of cefixime versus amoxicillin and clavulanate potassium on children with bacterial infections.Methods Randomized controlled trails（RCTs） of cefixime versus amoxicillin and clavulanate potassium for bacterial infections in children were collected from VIP（1989 to 2010） and CBMdisc（1978 to 2010）.The methodological quality of included studies was evaluated,and data analyses were performed with the Cochrane collaboration＇s software RevMan 5.0.Results A total of 672 patients involved in 7 papers were searched.As for the cure rates and effective rates in the treatment of children with bacterial infections,significant differences were noted between cefixime versus amoxicillin and clavulanate potassium.Cure rates： RRs and 95%CI were 1.66（1.22 to 2.26）,Z=3.24,P=0.001,the difference was significant.Effective rates： RRs and 95%CIs were 3.07（1.94 to 4.86）,Z=4.80,P0.01,the difference was significant.Conclusion According to the domestic evidence,cefixime is effective in the treatment of bacterial infections in children versus amoxicillin and clavulanate potassium.However,more high quality clinical trials are expected for further study.

关 键 词：头孢克肟 阿莫西林克拉维酸钾 儿童 细菌感染 META分析 

分 类 号：R37[医药卫生—病原生物学]