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-  2015 

降钙素原和血浆可溶性髓样细胞触发受体1诊断呼吸机相关性肺炎的比较:Meta分析

DOI: doi:10.7507/1671-6205.2015010

Keywords: 呼吸机相关性肺炎, 可溶性髓样细胞触发受体1, 降钙素原, Meta分析

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Abstract:

目的评价降钙素原(PCT)和血浆可溶性髓样细胞触发受体1(sTREM-1)对呼吸机相关性肺炎(VAP)的诊断价值。 方法系统检索PubMed、OvidSP(EMBASE)、Cochrane Library、clinicaltrials.gov、EBSCO、CBM、CNKI和中国万方数据库, 检索截止时间为2013年12月。使用QUADAS量表对纳入文献的质量进行评价。通过Meta-disc软件对PCT和sTREM-1诊断VAP的敏感性、特异性、阳性似然比、阴性似然比、诊断比值比分别进行合并, 并计算sROC曲线下面积(AUC), 两者AUC的比较使用Z检验, 并根据贝叶斯理论计算相应的验后概率。 结果最终31篇文献纳入研究, 其中PCT文献20篇, sTREM-1文献11篇。合并后结果提示, PCT诊断VAP的敏感性和特异性分别为0.78和0.74, 诊断比值比为15.21, AUC为0.868。sTREM-1诊断VAP敏感性和特异性为0.88和0.80, 诊断比值比为30.28, AUC为0.919。两者AUC比较差异无统计学意义(P=0.25)。 结论结合贝叶斯理论, sTREM-1与PCT相比对VAP的诊断有较高的价值, 但是两者均无法作为单独的手段用于诊断或排除VAP

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