摘要
目的为老年股骨颈骨折患者制定倨证治疗方案。方法在充分评估患者病情后,进行临床提问,计算机检索Cochrane图书馆(2008年4月),PubMed(2002年至2010年),Medline(2000年至2010年)和Embase(2000年至2010年),Tripdatabase,Oviddatabase和ACP(AmericanCollegeofphysicians)onlinejournal关于股骨颈骨折治疗的循证临床指南,RCT(Randomizedcon—trolledtrial),系统评价和Meta分析,并评价其质量,获取最佳证据用于临床治疗。结果共检出关于股骨颈骨折的8篇系统评价,9篇Meta分析,1篇循证治疗指南,2篇RCT。结合患者实际情况,制定出儋证治疗方案。结论采用儋证治疗方法,可为患者确定合理而安全的治疗方案。
Objective To develop an evidence - based treatment for an elderly patient with femoral neck fracture. Method Based on the clinical question raised by a elderly patient with femoral neck fracture, we searched PubMed ( 2000 - 2010 ) , Cochrane ( 2008.4), Mcdline (2000 - 2010 ), Embase (2000 2010 ), Trip database, Ovid database and ACP online journal for related systematic review, RCT and meta - analysis. Then the evidence was assessed to obtain high - quality evidence for clinical treatment. Results A total of 1 evidence -based guideline ,2 RCT,8 systematic reviews and 9 meta- analyses were included. Based on these data and conditions of the individual patient, an evidence - based treatment plan was developed. Conclusion Using an evidence - based method, a rational and safe treatment strategy can be drawn for elderly patient with femoral neck fracture.
出处
《临床外科杂志》
2011年第6期423-425,共3页
Journal of Clinical Surgery
关键词
老年
股骨颈骨折
META分析
系统评价
elderly
femoral neck fracture
meta - analysis
systimatic review