主动脉内球囊反搏术在我国非急诊高危经皮冠状动脉介入术中应用效果的系统综述  

A Systematic Review of the Effectiveness of Intra-aortic Balloon Pump in Non-emergency High-risk Percutaneous Coronary Intervention in China

作　　者：赵云鹏 肖月 史黎炜 刘克军 刘永军[1] ZHAO Yun-Peng;XIAO Yue;SHI Li-Wei;LIU Ke-Jun;LIU Yong-Jun(School of International Medical Business,China Pharmaceutical University,Nanjing 211198,China;Health Development Research Center and National Evaluation Center for Drugs and Health Technology,NHC,Beijing 100044,China)

机构地区：[1]中国药科大学国际医药商学院,南京211198 [2]国家卫生健康委卫生发展研究中心暨国家药品和卫生技术综合评估中心,北京100044

出　　处：《中国药物经济学》2025年第1期35-40,共6页China Journal of Pharmaceutical Economics

摘　　要：目的对主动脉内球囊反搏术(IABP)在我国非急诊的经皮冠状动脉介入治疗(PCI)应用的临床同期对照研究进行检索筛选、总结归纳并采用系统综述的方法分析其辅助PCI的效果和临床价值,为IABP的使用效果评估提供参考。方法系统检索中国期刊全文数据库、中文期刊全文数据库、万方数据知识服务平台、中国生物医学文献数据库等中文数据库,按照纳排标准纳入文献;使用Excel软件统计文献信息,通过非随机对照试验方法学评价指标(MINORS)对所获文献进行质量评价,通过描述性分析的方法分析IABP的应用效果。结果共纳入7篇文献,系统综述的结果发现IABP组的总体有效情况、心脏功能改善情况、血流动力学改善情况等均优于无保护装置组(P<0.05),术后主要心血管不良事件发生率低于无保护装置组(P<0.05)。结论IABP的运用有助于提高我国非急诊高危PCI手术的总体有效情况、心脏功能和血流动力学稳定情况,降低不良事件和并发症发生率。Objective To search,screen,summarize and systematically review the clinical comparative studies on the application of Intra-aortic Balloon Pump(IABP)in non-emergency high-risk Percutaneous Coronary Intervention(PCI)in China,and analyze its adjuvant effect and clinical value by means of systematic review,so as to provide reference for the evaluation of the use of IABP.Methods Chinese databases such as CNKI,Wanfang,VIP and China Biology Medicine disc were systematically searched and included according to the inclusion criteria.Excel software was used to collect literature information,literature quality was evaluated with MINORS non-randomized controlled research tools,and the application effect of IABP was analyzed with descriptive analysis.Results A total of 7 literatures were included.The results of systematic review found that the overall effectiveness,cardiac function improvement and hemodynamic improvement in the group assisted interventional therapy with IABP were superior to those in the group without protective devices(P<0.05).The rate of Major Adverse Cardiovascular Events(MACE)after surgery in the IABP group was lower than that in the unprotected group(P<0.05).Conclusion The application of IABP is helpful to improve the overall effectiveness,cardiac function and hemodynamic stability of non-emergency high-risk PCI in China,and reduce the incidence of adverse events and complications.

关 键 词：主动脉内球囊反搏术 非急诊高危经皮冠状动脉介入治疗 系统综述 

分 类 号：R616.1[医药卫生—外科学] R541.4[医药卫生—临床医学]