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投稿时间:2020-09-06 网络发布日期:2021-03-20
投稿时间:2020-09-06 网络发布日期:2021-03-20
中文摘要: 目的 系统评价急慢性胰腺炎患者新发2型糖尿病危险因素的相关研究。方法 计算机检索中英文数据库,筛选符合纳入标准的病例对照研究,病例组为急慢性胰腺炎患者中新发2型糖尿病的患者,对照组为急慢性胰腺炎患者中未并发2型糖尿病的患者,对纳入的研究进行质量评估,提取数据并采用Review Manager5.3进行Meta分析及系统评价。结果 最终7篇文献符合纳入标准,含高质量文献4篇,纳入患者4 618例,Meta分析结果显示:男性、有饮酒史、首发住院年龄较大、首发年龄较大、有吸烟史、吸烟量较多、乙醇摄入量较多、重症胰腺炎、酒精性胰腺炎为急慢性胰腺炎患者新发2型糖尿病的危险因素(P<0.05,P<0.01)。结论 针对主要危险因素采取相应预防措施,加强急慢性胰腺炎的随访管理,有利于降低胰腺炎患者新发2型糖尿病的发病率。
Abstract:Objective To systematically evaluate the relevant studies on risk factors for new onset type 2 diabetes in patients with acute and chronic pancreatitis. Methods A computerized search of Chinese and English databases was performed to screen case-control studies that met the inclusion criteria:the subjects in the case group were patients with new onset type 2 diabetes among acute and chronic pancreatitis,the subjects in the control group were patients with uncomplicated type 2 diabetes among acute and chronic pancreatitis,the included studies were qualitatively assessed,the data were extracted and meta-analysis and systematic review were performed using Review Manager5.3. Results The final 7 articles met the inclusion criteria,including 4 high-quality articles with 4 618 included patients,and the results of the meta-analysis showed that being male,having a history of alcohol consumption,older age at first hospitalization,older age at first episode,having a history of smoking,more tobacco use,more ethanol intake,severe pancreatitis,and alcoholic pancreatitis were risk factors for new onset type 2 diabetes in patients with acute and chronic pancreatitis. Conclusion Targeting the major risk factors with corresponding preventive measures to enhance the follow-up management of acute and chronic pancreatitis is beneficial to reduce the incidence of new onset type 2 diabetes in patients with pancreatitis.
文章编号: 中图分类号: 文献标志码:A
基金项目:国家自然科学青年基金(81703869)
附件
作者 | 单位 |
梁艺钟1 | 1.深圳市中医院脾胃科,广东 深圳 518033 |
张维晴2 | 2.深圳市龙华区人民医院中医科,广东 深圳 518033 |
郭绍举1 | 1.深圳市中医院脾胃科,广东 深圳 518033 |
姜小艳1 | 1.深圳市中医院脾胃科,广东 深圳 518033 |
张春虹1 | 1.深圳市中医院脾胃科,广东 深圳 518033 |
刘禹翔3 | 3.深圳市中医院急诊科,广东 深圳 518033 |
引用文本:
梁艺钟,张维晴,郭绍举,等.急慢性胰腺炎后新发2型糖尿病的危险因素Meta分析[J].中国临床研究,2021,34(3):314-318.
梁艺钟,张维晴,郭绍举,等.急慢性胰腺炎后新发2型糖尿病的危险因素Meta分析[J].中国临床研究,2021,34(3):314-318.