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    张丹, 王鑫, 王晞. 房颤合并高血压患者的循证治疗[J]. 循证医学, 2011, 11(3): 169-172. DOI: 10.3969/j.issn.1671-5144.2011.03.020
    引用本文: 张丹, 王鑫, 王晞. 房颤合并高血压患者的循证治疗[J]. 循证医学, 2011, 11(3): 169-172. DOI: 10.3969/j.issn.1671-5144.2011.03.020
    shu
    ZHANG Dan, WANG Xin, WANG Xi. Evidence-Based Treatment for an Atrial Fibrillation Complicating Hypertension[J]. Journal of Evidence-Based Medicine, 2011, 11(3): 169-172. DOI: 10.3969/j.issn.1671-5144.2011.03.020
    Citation: ZHANG Dan, WANG Xin, WANG Xi. Evidence-Based Treatment for an Atrial Fibrillation Complicating Hypertension[J]. Journal of Evidence-Based Medicine, 2011, 11(3): 169-172. DOI: 10.3969/j.issn.1671-5144.2011.03.020
    shu

    房颤合并高血压患者的循证治疗

    Evidence-Based Treatment for an Atrial Fibrillation Complicating Hypertension

      摘要
    • 摘要: 目的 借助循证医学的方法为1例房颤合并高血压患者确定治疗目标及治疗方案。 方法 在充分评估患者病情的基础上,根据PICO原则,提出临床问题并转换成便于检索的形式,检索Cochrane Library（2009年第4期）、MEDLINE（PubMed 1998-2009年）、万方数据库（1995-2009年）等数据库,查找与房颤合并高血压患者治疗相关的系统评价和随机对照试验,并对相关证据进行评价,判断研究结论的真实性、重要性和适用性,获取最佳证据用于临床治疗。 结果 共检索出与不同临床问题相关的随机对照试验341篇,系统评价或Meta分析27篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。经过半年随访证实该方案适合患者。 结论 采取循证治疗的方法,为确诊的房颤合并高血压患者制定合理的治疗目标和治疗方案,可有效提高治疗效果。

       

      Abstract: Objective To formulate an evidence-based treatment plan for a patient with atrial fibrillation with primary hypertension. Methods Based on an adequate assessment of the patient’s condition and using the principle of PICO, we searched for systematic reviews and randomized controlled trials in the Cochrane Library（Issue 4,2009）, MEDLINE（PubMed, 1998 to 2009） and evaluated the evidence. Results A total of 341 RCTs and 27 systematic reviews were identified. A rational treatment plan was made upon a serious evaluation of the data.After a half year follow-up, the plan was proved optimal. Conclusion Evidence-based approaches help as to prepare the most appropriate therapy plan for this patient and will help to improve the therapeutic effects for patients with atrial fibrillation with hypertension.

       

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