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    陈勇, 丁家望, 陈丽华, 李松, 李稳慧, 李莉. 原发性高血压合并不稳定型心绞痛老年患者的循证治疗[J]. 循证医学, 2011, 11(5): 301-304. DOI: 10.3969/j.issn.1671-5144.2011.05.020
    引用本文: 陈勇, 丁家望, 陈丽华, 李松, 李稳慧, 李莉. 原发性高血压合并不稳定型心绞痛老年患者的循证治疗[J]. 循证医学, 2011, 11(5): 301-304. DOI: 10.3969/j.issn.1671-5144.2011.05.020
    shu
    CHEN Yong, DING Jia-wang, CHEN Li-hua, LI Song, LI Wen-hui, LI Li. Evidence-Based Treatment for Primary Hypertension Complicating Unstable Angina in Elderly Patients[J]. Journal of Evidence-Based Medicine, 2011, 11(5): 301-304. DOI: 10.3969/j.issn.1671-5144.2011.05.020
    Citation: CHEN Yong, DING Jia-wang, CHEN Li-hua, LI Song, LI Wen-hui, LI Li. Evidence-Based Treatment for Primary Hypertension Complicating Unstable Angina in Elderly Patients[J]. Journal of Evidence-Based Medicine, 2011, 11(5): 301-304. DOI: 10.3969/j.issn.1671-5144.2011.05.020
    shu

    原发性高血压合并不稳定型心绞痛老年患者的循证治疗

    Evidence-Based Treatment for Primary Hypertension Complicating Unstable Angina in Elderly Patients

      摘要
    • 摘要: 目的 借助循证医学的方法为初诊原发性高血压合并不稳定型心绞痛老年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MEDLINE（PubMed网站2002-2011年）和美国国家指南交换中心检索。检索主题词为: primary hypertension;acute coronary syndrome（ACS）; evidence based treatment;meta-analysis;systematic review;randomized controlled trial。 结果 共检出与不同问题相关的随机对照试验120篇（仅限于全文检索）,系统评价或Meta分析61篇（仅限于全文检索）。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24小时院内动态血压监护以及临床问诊证实,该方案适合患者。 结论 采用循证治疗的方法,为初诊原发性高血压合并不稳定型心绞痛老年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。

       

      Abstract: Objective Methods of evidence-based medicine were used to make an individualized treatment plan concerning primary hypertension complicating unstable angina in elderly patients. Methods After clinical problems were put forward, evidence was collected from MEDLINE （PubMed 2002-2011）and National Guideline Cleating-house （NGC）. Subject words were: primary hypertension; acute coronary syndrome（ACS）; evidence-based treatment; meta-analysis; systematic review; randomized controlled trial. Results A total of 120 RCTs （only items with links to full text）, and 61 systematics reviews were identified （only items with links to full text）. A rational treatment plan was made upon a serious evaluation of the date. After 24 hours of blood pressure care in hospital.The plan was proved optimal. Conclusion The treatment efficacy in newly diagnosed primary hypertension complicating with unstable angina in old patients has been improved by determining an individualized treatment plan according to evidence-based methods.

       

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