依维莫司洗脱支架与西莫罗斯洗脱支架治疗冠状动脉疾病随机临床对照试验的Meta分析
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中山市科技计划项目资助(20113A028)


A Meta-Analysis of Everolimus-Eluting Versus Sirolimus-Eluting Stents in Patients with Coronary Artery Disease
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    摘要:

    目的探讨依维莫司洗脱支架与西莫罗斯洗脱支架在治疗冠状动脉疾病疗效方面的差别。方法计算机检索Medline(1960年~2012年1月)、CENTRAL(1989年~2012年1月)、EMBASE(1980年~2012年1月)和中国期刊全文数据库(CNKI 1979年~2012年1月)公开发表的依维莫司洗脱支架对比西莫罗斯洗脱支架治疗冠状动脉疾病的随机临床对照研究(RCT)。以两组患者随访期间发生不良事件的相对危险度(RR)为效应指标,评价两种洗脱支架治疗冠状动脉疾病的差别。统计分析采用Stata11.0软件完成。结果共6项RCT,5196例患者纳入分析。Meta分析结果显示两种药物洗脱支架在再发重大心血管事件(死亡/再发心肌梗死)方面(RR=1.00,95%CI:0.84~1.17,P=0.96)、支架内血栓形成(RR=0.53,95%CI:0.24~1.16,P=0.11)及再血管化方面(RR=0.88,95%CI:0.70~1.09,P=0.24)差异均无统计学意义。结论依维莫司洗脱支架与西莫罗斯洗脱支架在治疗冠状动脉疾病疗效方面并无明显差异。

    Abstract:

    AimTo compare the efficacy of everolimus-eluting versus sirolimus-eluting stents in patients with coronary artery disease.MethodsBy searching Medline(1960~2012.1) , CENTRAL(the Cochrane central register of controlled trials, 1989~2012.1), EMBASE(1980~2012.1), CNKI(1979~2012.1)databases, the open published randomized controlled trials (RCT) about the efficacy of everolimus-eluting versus sirolimus-eluting stents in patients with coronary artery disease was calculated by statistic software Stata11.0.The relative risk (RR) was used as the effect size to compare the events occurred during the follow-up period between the two groups.ResultsSix trials including a total of 5196 patients were analyzed in this study.No statistical difference of major cardiac adverse events (death/ myocardial infarction) (RR=1.00, 95%CI:0.84~1.17,P=0.96), definite stents thrombosis(RR=0.53,95%CI:0.24~1.16,P=0.11) and revascularization (RR=0.88,95%CI:0.70~1.09,P=0.24) were found in this meta-analysis, respectively.ConclusionsThis meta-analysis did not demonstrate significant statistical difference in terms of efficacy and safety between everolimus-eluting and sirolimus-eluting stents in patients with coronary artery disease.

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邓志华,袁勇,冯力,董剑廷.依维莫司洗脱支架与西莫罗斯洗脱支架治疗冠状动脉疾病随机临床对照试验的Meta分析[J].中国动脉硬化杂志,2013,21(5):463~467.

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  • 收稿日期:2012-11-13
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