小儿鞘膜积液的循证治疗  

Evidence-Based Treatment for Pediatric Patients with Hydrocele

作　　者：段启新[1] 吴天鹏[1] 易小春[1] 许明伟[1] 

机构地区：[1]武汉大学人民医院泌尿Ⅱ科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2013年第4期618-621,共4页Medical Journal of Wuhan University

摘　　要：目的:借助循证医学的方法为小儿鞘膜积液患者制定治疗方案。方法:充分评估1例患儿情况后提出临床问题,计算机检索PubMed、Cochrane图书馆、中国知网(CNKI)、维普数据库(VIP)、万方数据库(WangfangDate)等,查找有关小儿鞘膜积液治疗的系统评价和临床随机对照实验等,文献检索起始时间均为建库至2012年12月,并对所获证据进行评价。结果:纳入小儿鞘膜积液治疗的随机对照试验7篇,系统评价或Meta分析2篇,根据所获证据给患者制定治疗方案,经1年随访证实,该方案适合患者。结论:采用循证治疗的方法,为小儿鞘膜积液患者确定合理的治疗目标和治疗方案,可有效提高治疗效果。Objective： To make an individualized therapeutic regimen for pediatric patients with hydro cele by evidence-based medicine. Methods： According to the clinical problems of a pediatric pa- tient with hydrocele, such databases as PubMed, The Cochrane Library, CNKI, VIP and Wang- fang were searched from their establishment to December 2012 for collecting systematic reviews and the randomized controlled trials （RCT） about the treatment of hydrocele. Results： A total of 7 randomized controlled trials, 2 systematic reviews or meta-analyses were identified. A rational treatment plan was made upon a serious evaluation of the data. After one year＇s follow-up, the plan was proved optimal. Conclusion： The treatment efficacy in pediatric hydrocele has been im- proved by determining an individualized treatment plan according to evidence-based methods.

关 键 词：鞘膜积液 小儿患者 循证治疗 

分 类 号：R726.9[医药卫生—儿科]