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首页> 外文期刊>International journal of clinical pharmacology and therapeutics >Effect of ulinastatin on serum inflammatory factors in Asian patients with acute pancreatitis before and after treatment: a meta-analysis
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Effect of ulinastatin on serum inflammatory factors in Asian patients with acute pancreatitis before and after treatment: a meta-analysis

机译:乌司他丁对亚洲急性胰腺炎患者治疗前后血清炎性因子的影响:荟萃分析

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摘要

Objective: We applied a meta analysis to explore the effect of ulinastatin (UTI) on the serum levels of C-reactive protein (CRP), interleukin 6 (IL-6), and tumor necrosis factor alpha (TNF-alpha) in Asian patients with acute pancreatitis (AP). Methods: Various databases were searched based on stringent inclusion and exclusion criteria to extract relevant cohort studies. Comprehensive Meta-analysis 2.0 (Biostat Inc., Englewood, NJ, USA) was applied for statistical analyses. Results: A total of 113 relevant studies (67 in Chinese, 46 in English) were initially retrieved. Finally, 11 eligible studies were enrolled in our meta-analysis with 399 pancreatitis patients. Meta-analysis results showed that after being treated with UTI, the serum levels of CRP, IL-6, and TNF-alpha were evidently decreased (CRP: SMD = -2.697, 95% CI = -4.399 similar to -0.994, p = 0.002; IL-6: SMD = -5.268, 95% CI = -9.850 similar to -0.687, p = 0.024; TNF-alpha: SMD = -5.666, 95% CI = -11.083 similar to -0.249, p = 0.040). Conclusion: UTI can effectively reduce the serum levels of CRP, IL-6, and TNF-alpha in Asian patients with AP, suggesting that UTI has anti-inflammatory effect on Asian patients with AP.
机译:目的:我们进行了荟萃分析,以探讨乌司他丁(UTI)对亚洲患者血清C反应蛋白(CRP),白介素6(IL-6)和肿瘤坏死因子α(TNF-alpha)的影响患有急性胰腺炎(AP)。方法:根据严格的纳入和排除标准搜索各种数据库,以提取相关的队列研究。综合Meta分析2.0(Biostat Inc.,Englewood,NJ,美国)用于统计分析。结果:最初检索到113篇相关研究(中文67篇,英文46篇)。最后,我们对399例胰腺炎患者进行了11项合格的研究纳入荟萃分析。荟萃分析结果显示,用UTI治疗后,血清CRP,IL-6和TNF-α水平明显降低(CRP:SMD = -2.697,95%CI = -4.399,与-0.994相似,p = 0.002; IL-6:SMD = -5.268,95%CI = -9.850类似于-0.687,p = 0.024; TNF-alpha:SMD = -5.666,95%CI = -11.083类似于-0.249,p = 0.040) 。结论:尿路感染可有效降低亚洲AP患者的血清CRP,IL-6和TNF-α水平,提示尿路感染对亚洲AP患者具有抗炎作用。

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