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氯沙坦治疗高血压的Meta分析
引用本文:李延鸿,朱怀军.氯沙坦治疗高血压的Meta分析[J].中国医院用药评价与分析,2008,8(10):746-749.
作者姓名:李延鸿  朱怀军
作者单位:1. 广州市第十二人民医院,广州市,510620
2. 南京大学医学院附属鼓楼医院,南京市,210008
摘    要:目的:探讨氯沙坦治疗高血压的有效性及安全性的差异。方法:应用Meta分析12篇关于氯沙坦与其他常用抗高血压药治疗高血压病的研究文献,对其有效性及安全性进行同质性检验及合并效应量的估计。结果:有效性的同质性检验χ^2=8.30,df=11,P=0.686;安全性χ^2=9.62,df=11,P=0.565。二者合并效应量的估计,有效性:OR=1.38。OR合并95%可信区间为1.00—1.9;安全性OR合并=0.47,OR合并95%可信区间为0.32~0.68。结论:氯沙坦治疗高血压有效性总体上与对照组比较无显著性差异,安全性比较有显著性差异,

关 键 词:氯沙坦  高血压  Meta分析

Mata Analysis on Losartan in the Treatment of Hypertension
LI Yan-hong,ZHU Huai-jun.Mata Analysis on Losartan in the Treatment of Hypertension[J].Evaluation and Analysis of Drug-Use in Hospital of China,2008,8(10):746-749.
Authors:LI Yan-hong  ZHU Huai-jun
Institution:LI Yan-hong , ZHU Huai-jun ( 1.Guangzhou No. 12 People' s Hospital, Guangzhou 510620, China; 2. Nanjing University Affiliated Gulou Hospital, Nanjing 210008, China)
Abstract:OBJECTIVE: To study the difference in efficacy and safety of Losartan in treating hypertension. METHODS: Research literature about Losartan versus other antihypertensive drugs in the treatment of hypertensive disease reported in 12 papers was subjected to a Meta analysis, and a homogeneity test and a combined test were conducted for the efficacy and safety of the drugs. RESULTS: In homogeneity test: χ^2= 8.30, df= 11, P = 0.686 (efficacy); χ^2 = 9.62, df= 11, P = 0.565 (safety). In combined test, the combined OR = 1.38 and its 95% confidence interval was in the range of 1.00 1.9 for efficacy; the combined OR = 0.47 and 95 % confidence interval was in the range of 0.32 - 0.68 for safety. CONCLUSION: There is no significant difference in efficacy between Losartan and Control Group in treating hypertension; however, there are significant differences between the two in safety.
Keywords:Losartan  Hypertension  Mata analysis
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