早期胃癌患者的循证治疗
Evidence-Based Treatment for A Patient with Early Gastric Cancer
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摘要: 目的 借助循证医学的方法为1例早期胃癌患者确定治疗目标及治疗方案。 方法 在充分评估患者情况后,提出临床问题,从Cochrane图书馆（网络版2000-2009年）、PubMed和EMBASE（2000-2009年）上进行检索。检索的主题词为: stomach cancer, early cancer, therapy, preoperative treatment, postoperative treatment, lymph node metastasis, invasive therapeutic technique, postoperative complication, postoperative hemorrhage, meta analysis, systematic review, randomized controlled trial （RCT）, practice guideline。 结果 共检出与不同问题相关的指南、系统评价或Meta分析14篇,随机对照试验5篇,非随机对照研究7篇。通过对检索结果进行分析,结合患者意愿,为患者制定了合理的治疗方案。 结论 采用循证治疗的方法,为1位诊断为早期胃癌患者确定合理的治疗方案,可以有效提高治疗效果,提高患者生存质量。Abstract: Objective To formulate an evidence-based treatment plan for a patient with early gastric cancer. Methods Based on the clinical questions raised by a patient with early gastric cancer, we searched the Cochrane Library （online year 2000 to 2009）, PubMed and EMBASE （year 2000 to 2009） for meta-analysis, systematic review, randomized controlled trial（RCT）, guideline, case-control studies. Results We found 14 practice guidelines or systematic reviews or meta analysis, 5 RCT, and 7 case-control studies. After analyzing those papers and sought the opinion of the patient, we founded a proper treatment protocol for the patient. Conclusion Survival rate and therapeutic efficacy could be improved through evidence-based treatment.
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