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Received:July 02, 2019 Published Online:February 20, 2020
Received:July 02, 2019 Published Online:February 20, 2020
中文摘要: 目的 探讨院外管理对痛风性关节炎控制的干预效果。方法 检索中国学术文献总库(CNKI)、万方、维普、中国生物医学文献数据库(CBM)中关于院外痛风性关节炎教育管理对患者复发率影响的随机对照试验(RCT),检索时间均为自建库至2018年12月。由两位研究者分别独立筛选文献并提取文献信息,采用RevMan 5.3软件进行数据统计分析。结果纳入文献8篇,病例总数990例。Meta分析结果显示,院外管理患者痛风性关节炎复发率低于对照组,院外管理患者痛风复发的风险是对照组的0.35倍(RR=0.35,95%CI=0.27～0.46,Z=7.65,P<0.01)。结论院外教育管理对痛风性关节炎患者具有重要影响,有助于减少疾病复发,提高患者生活质量。
Abstract:Objective To explore the intervention effect of outofhospital management on gouty arthritis.Methods Randomized controlled trial (RCT) on the effect of outofhospital education and management on the recurrence rate of gouty arthritis patients in the CNKI,Wanfang Data,VIP,and China Biomedical Literature Database (CBM) was retrieved.Retrieval time was from construction to December 2018.Two researchers independently screened the literature and extracted the literature information,and RevMan 5.3 software was used for statistical analysis.Results Eight articles including 990 cases were included.Metaanalysis showed that the risk of gout recurrence in outofhospital management patients was 0.35 times than that of the control group (RR=0.35,95%CI=0.27-0.46,Z=7.65,P<0.01).Conclusion The management of outofhospital education has an important impact on patients with gouty arthritis,which can help reduce disease recurrence and improve the quality of life of patients.
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基金项目:江苏省中医药局项目(YB2017090);江苏卫生健康职业学院2017年度院级科研项目(PB201747),江苏高校品牌专业建设工程资助项目;江苏卫生健康职业学院2018年度院级科研项目(JKA201806);江苏省大学生创新创业实践项目(201714255011X)
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