Bone marrow stem cell transplantation for acute myocardial infarction:a meta-analysis
-
摘要: 目的:探讨骨髓干细胞移植治疗急性心肌梗死心功能的效果。方法:系统检索数据库MEDLINE、EMBASE、Cochrane图书馆、中国知网以及万方数据库。时间为建库到2014年1月。纳入文献用RevMan5.2进行分析。结果:共4篇临床试验(n=218)纳入meta分析。结果显示:与对照组相比,骨髓干细胞移植显著提高了急性心肌梗死患者的左室射血分数(SMD=0.84,95%CI:0.12~1.55,P<0.05)。而移植骨髓干细胞后的心肌梗死面积与注射无干细胞溶液的对照组相比,差异无统计学意义。结论:骨髓干细胞可改善急性心肌梗死后的左室射血分数。Abstract: Objective:To review the quality of clinical trials and further to evaluate the effectiveness on acute myocardial infarction using bone marrow stem cell transplantation with meta-analysis.Method:We searched MEDLINE database,EMBASE database,Cochrane Library,Chinese HowNet database and Wanfang Medical Data System which deadlined to January 2014,then assessed the quality of study literatures according to the Jadad score ratings and analyzed with RevMan5.2statistical software.Result:A total of 4literatures including 218 patients met the inclusion criteria.Meta-analysis showed that the left ejection fraction in the intervention group using bone marrow stem cell transplantation treatment was significantly higher than that in the control group(SMD=0.84,95%CI:0.12~1.55,P<0.05).But the size of myocardial infarction was not significantly different between two groups.Conclusion:Transplantation of bone marrow stem cells can improve left ejection fraction.
-
Key words:
- myocardial infarction /
- cell transplantation /
- left ejection fraction /
- infarct size
-
[1] 杨汉杰.AMI的诊断与治疗[J].中国现代医生杂志,2010,48(19):8-9.
[2] 王有,刘海明,张晋,等.干细胞移植治疗心脏病的研究现状及进展[J].中华老年多器官疾病杂志,2007,6(4):285-288.
[3] 邱明星,熊国兵,龚百生,等.中医药治疗前列腺炎随机对照试验的系统评价[J].中国循证医学杂志,2010,10(1):56-72.
[4] 肖文涛,高传玉,戴国友,等.不同类型自体骨髓干细胞序贯移植治疗AMI的临床观察[J].临床心血管病杂志,2013,29(5):370-373.
[5] 李占全,张明,金元哲.等.粒细胞集落刺激因子动员自体外周血干细胞移植治疗AMI的临床研究[J].中华心血管病杂志,2006,34(2):99-102.
[6] 游庆军,沈振亚,肖明第.等.自体骨髓干细胞移植对心力衰竭患者近期心功能的影响[J].中国组织工程研究与临床康复杂志,2008,12(8):1467-1471.
[7] TRAVERSE J H,HENRY T D, ELLIS S G,et.al. Effect of intracoronary delivery of autolologous bone marrow mononuclear cells two to three weeks following acute myocardial infarction on left-ventricular function:the Late TIME Randomized Trial[J]. J Am Med Associat,2011,306:2110-2119.
[8] 周军波,周建庆,廉姜芳,等.左室射血分数降低的冠心病患者的冠脉造影分析[J].现代实用医学,2009,21(12):1312-1313.
[9] 姚红军.经桡动脉与经股动脉入径行急诊经皮冠状动脉介入治疗ST段抬高型AMI临床对比研究[J].中国医学创新,2013,10(26):36-38.
[10] 左晶,马春野,王勇,等.经股动脉与桡动脉冠脉介入治疗急性心梗的疗效观察[J].现代预防医学,2011,38(4):790-791.
[11] 王燕慧,张灏.测量心肌梗死面积的方法学进展[J].国际内科学杂志,2009,36(9):516-519.
[12] ANGOULVANT D.Neovascularization derived from cell transplantation in ischemic myocardium[J].Mol Cell Biochem,2004,264:133-142.
计量
- 文章访问数: 97
- PDF下载数: 34
- 施引文献: 0