CCABG和OPCAB术后脑卒中发生率的Meta分析  

A Meta-analysis on postoperative stroke incidence after CCABG or OPCAB

作　　者：舒健[1] 李森[1] 陈勇兵[2] 

机构地区：[1]苏州大学附属太仓市人民医院胸心外科,江苏省215400 [2]苏州大学附属第二医院胸心外科

出　　处：《江苏医药》2012年第15期1788-1790,共3页Jiangsu Medical Journal

摘　　要：目的评价体外循环冠状动脉旁路移植术(CCABG)和非体外循环下冠状动脉旁路移植术(OPCAB)术后脑卒中发生率的差异。方法在各大文献数据库中检索以CCABG和OPCAB术后脑卒中发生率的中文和英文的随机对照试验,及其参考文献。对纳入的研究文献进行质量评价,再将提取的有效数据采用RevMan 5统计软件进行Meta分析。结果共检索到256篇文献,经过筛选,最终纳入23篇进行Meta分析。Meta分析显示,CCABG和OPCAB术后脑卒中发生率的差异无统计学意义。结论 OPCAB和CCABG术后脑卒中的发生率无明显差异。Objective To evaluate the differences in the incidence of stroke between after OPCAB and CCABG by Meta-analysis. Methods A literature search for the period before May 2011 supplemented with manual bibliographic review in Chinese- and English-language publications in some literature database was performed. A systematic overview（Meta-analysis） of randomized controlled trials（RCTs） was conducted to assess the differences in the incidence of stroke between after OPCAB and CCABG. Meta-analysis was performed using RevMan 5. Results A total of 23 RCTs was selected for Meta-analysis after screening 256 studies. Meta-analysis of these trials showed no significant difference in the incidence of stroke between after OPCAB and CCABG. Conclusion The Metaanalysis of current available RCTs suggests that there is no significant difference in the incidence of stroke between after OPCAB and CCABG.

关 键 词：冠状动脉旁路移植术 脑卒中 META分析 

分 类 号：R654[医药卫生—外科学]