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The microbiota-gut-brain axis in myalgic encephalomyelitis/chronic fatigue syndrome: a narrative review of an emerging field. 肌痛性脑脊髓炎/慢性疲劳综合征的微生物-肠-脑轴:一个新兴领域的叙述回顾。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-02-12 DOI: 10.4081/ejtm.2025.13690
Amr Ali Mohamed Abdelgawwad El-Sehrawy, Ibtihal Ibrahim Ayoub, Subasini Uthirapathy, Suhas Ballal, Baneen C Gabble, Abhayveer Singh, Kavitha V, Rajashree Panigrahi, Mostafa Kamali, Mohsen Khosravi

The intricate relationship between gut microbiota and the brain has emerged as a pivotal area of research, particularly in understanding Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). This complex condition is characterized by debilitating fatigue, cognitive dysfunction, and a wide array of systemic manifestations, posing significant challenges for diagnosis and treatment. Recent studies highlight the microbiota-gut-brain axis as a crucial pathway in ME/CFS pathophysiology, suggesting that alterations in gut microbial composition may impact immune responses, neurochemical signaling, and neuronal health. This narrative review systematically explores English-language scholarly articles from January 1995 to January 2025, utilizing databases such as PubMed, Scopus, and Web of Science. The findings underscore the potential for targeted therapeutic interventions aimed at correcting gut dysbiosis. As research progresses, a deeper understanding of the microbiota-gut-brain connection could lead to innovative approaches for managing ME/CFS, ultimately enhancing the quality of life for affected individuals.

肠道微生物群与大脑之间的复杂关系已成为研究的关键领域,特别是在理解肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)方面。这种复杂的疾病以衰弱性疲劳、认知功能障碍和广泛的系统性表现为特征,为诊断和治疗带来了重大挑战。最近的研究强调微生物-肠-脑轴是ME/CFS病理生理的重要途径,表明肠道微生物组成的改变可能影响免疫反应、神经化学信号传导和神经元健康。本文利用PubMed、Scopus和Web of Science等数据库,系统地研究了1995年1月至2025年1月期间的英语学术文章。这些发现强调了针对纠正肠道生态失调的靶向治疗干预的潜力。随着研究的进展,对微生物-肠道-大脑联系的更深入了解可能会导致管理ME/CFS的创新方法,最终提高受影响个体的生活质量。
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引用次数: 0
OZOILE®: evaluating its impact and future applications in inflammatory dermatological treatments. OZOILE®:评估其在炎症性皮肤病治疗中的影响和未来应用。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2024-12-03 DOI: 10.4081/ejtm.2024.13071
Fabiola Cassaro, Deborah Basilotta, Monica Currò, Pietro Impellizzeri, Carmelo Romeo, Salvatore Arena

Dear Editor, I would like to express my sincere appreciation for the publication and detailed discussion of therapies for dermatological and inflammatory conditions, as exemplified in the recent article "Onychocryptosis: a retrospective study of clinical aspects, inflammation treatment, and pain management using Ozoile as a hydrogel and cream formulation" by Vincenzo Francavilla et al. This insightful study has provided a comprehensive overview of the management of onychocryptosis, a common and often distressing condition, and has highlighted the innovative use of OZOILE® in a clinical setting.1 [...].

尊敬的编辑,我想对Vincenzo Francavilla等人发表的关于皮肤病和炎症治疗的文章表示诚挚的感谢,并对其进行了详细的讨论,例如最近的一篇文章“Onychocryptosis:临床方面、炎症治疗和疼痛管理的回顾性研究,使用Ozoile作为水凝胶和乳膏配方”。这项有见地的研究提供了一个全面的概述管理的甲爪塌陷,一个常见的和经常令人痛苦的条件,并强调了OZOILE®在临床环境中的创新使用。1[…]。
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引用次数: 0
Standardised indexes reduce the variability of masticatory muscles electromyographic values. 标准化指标降低了咀嚼肌肌电图值的变异性。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-02-25 DOI: 10.4081/ejtm.2025.13420
Riccardo Rosati, Daniela Carmagnola, Gaia Pellegrini, Dolaji Henin, Massimiliano Vella, Claudia Dellavia

In dentistry, Surface Electromyography (sEMG) is currently used in both clinical and research fields to study the electrical activity of the masticatory muscles, such as the anterior Temporals and Masseters, which are easily accessible. Due to biological and technical factors that can alter the capture of the sEMG signal, comparing recordings obtained from the same subject at different days, with electrode replacement, can be challenging, thus complicating inter- and intra-subject sEMG comparisons. In the present study, sEMG activity of the masticatory muscles during maximum teeth clenching was simultaneously recorded using two different electrode configurations (A and B) to simulate different electrodes positioning as may occur between appointments. Raw sEMG signals and standardised indexes based on acquisitions from configurations A and B were compared. The position of the electrodes significantly affected the sEMG raw potentials of the masticatory muscles during maximum teeth clenching, while standardised indexes were not influenced by electrode positioning.

在牙科领域,表面肌电图(sEMG)目前被用于临床和研究领域,以研究咀嚼肌的电活动,如颞前肌和咬肌,这是很容易获得的。由于生物和技术因素可以改变表面肌电信号的捕获,比较从同一受试者在不同天获得的记录,更换电极,可能具有挑战性,从而使受试者之间和受试者内部的表面肌电信号比较复杂化。在本研究中,使用两种不同的电极配置(A和B)同时记录咀嚼肌在最大咬牙时的肌电活动,以模拟在预约之间可能发生的不同电极位置。对原始表面肌电信号和基于配置A和B采集的标准化指标进行了比较。电极位置显著影响最大咬牙时咀嚼肌表面肌电原电位,而标准化指标不受电极位置的影响。
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引用次数: 0
Vitamin D receptor gene polymorphisms in patients with relapsing multiple sclerosis. 复发性多发性硬化症患者的维生素 D 受体基因多态性。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2024-11-21 DOI: 10.4081/ejtm.2024.12993
Maryam Milanifard, Soraya Mehrabi, Reza Ahadi, Mohsen Nabiuni, Samaneh Azimi Souteh, Mohammad Taghi Joghataei

The relationship between the Vitamin D Receptor (VDR) gene and many pathogenic pathways in Relapsing-Remitting Multiple Sclerosis (RRMS) remains unclear. Given the significance of the topic, we conducted this study to explore the correlation between vitamin D receptor gene polymorphisms and clinical and inflammatory factors in patients suffering from relapsing-remitting multiple sclerosis. The current research is a case/control study conducted based on the Helsinki Ethical Principles. RRMS disease was confirmed based on history, clinical symptoms, radiological signs and neurologist diagnosis. The research population consisted of healthy people and patients with RRMS who were referred to Hazrat Rasool Akram Hospital between 2021 and 2023. For each person participating in the study (RRMS patient and healthy), five milliliters of peripheral blood containing the anticoagulant EDTA was collected. Polymerase chain reaction was performed using two specific and appropriate oligonucleotide primers. The restriction fragment length polymorphism technique was used, one of the standard methods for identifying polymorphisms. Statistical analysis was performed using SPSS software version 23. The odds ratio and 95% confidence limits were calculated. The SNP Analyzer software was used to analyze the allele frequency of each polymorphism in healthy and RRMS individuals and compare the values. Prism version 5 software was used to draw diagrams. In the present study, a statistically significant difference was observed between the percentage of FokI genotypes in RRMS patients and healthy individuals. FokI polymorphism showed a significantly increased risk with an odds ratio of 7.28 in patients with the FF genotype compared to healthy individuals. ApaI, TaqI, and BsmI were not significantly different between the two groups. Based on the findings of the present study, FokI polymorphism showed a significant risk increase in RRMS patients with FF genotype compared to healthy individuals.

维生素 D 受体(VDR)基因与复发性多发性硬化症(RRMS)的多种致病途径之间的关系仍不清楚。鉴于该课题的重要性,我们开展了这项研究,以探讨复发性多发性硬化症患者体内维生素 D 受体基因多态性与临床和炎症因素之间的相关性。本研究是根据赫尔辛基伦理原则进行的病例/对照研究。根据病史、临床症状、放射学体征和神经科医生的诊断确认为复发性多发性硬化症。研究对象包括 2021 年至 2023 年期间转诊到 Hazrat Rasool Akram 医院的健康人和 RRMS 患者。参加研究的每个人(RRMS 患者和健康人)都要采集 5 毫升含有抗凝剂 EDTA 的外周血。聚合酶链反应使用两种特异性和适当的寡核苷酸引物进行。限制性片段长度多态性技术是鉴定多态性的标准方法之一。统计分析使用 SPSS 软件 23 版进行。计算了几率比例和 95% 的置信区间。使用 SNP Analyzer 软件分析健康人和 RRMS 患者中每种多态性的等位基因频率,并对数值进行比较。使用 Prism 5 版软件绘制图表。本研究观察到,RRMS 患者和健康人的 FokI 基因型比例存在显著统计学差异。FokI多态性显示,与健康人相比,FF基因型患者的风险明显增加,几率比为7.28。ApaI、TaqI和BsmI在两组之间没有明显差异。根据本研究的结果,与健康人相比,FF 基因型 RRMS 患者的 FokI 多态性风险明显增加。
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引用次数: 0
A neurophysiological and genetic assessment of a case of rapidly progressive scoliosis. 对一例快速进展性脊柱侧凸进行神经生理学和遗传学评估。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2024-12-19 DOI: 10.4081/ejtm.2024.13249
Maria Chiara Maccarone, Matilde Paramento, Edoardo Passarotto, Paola Contessa, Maria Rubega, Emanuela Formaggio, Stefano Masiero

Scoliosis is a three-dimensional spinal deformity characterized by a lateral deviation of at least 10° Cobb, categorized into idiopathic and non-idiopathic forms, caused by identifiable factors like congenital abnormalities, neuromuscular conditions, or genetic syndromes. This case report discusses a 15-year-old girl with growth delay and Growth Hormone (GH) deficiency who experienced rapid scoliosis progression. Initial evaluations were normal, and Electroencephalography (EEG) showed nonspecific alterations, but further assessment revealed a MYH3 gene variant associated with scoliosis, short stature, and distinct facial features. Treatment with a Lyon ARTbrace and tailored exercises stopped curve progression. This case highlights the need for thorough evaluations in atypical AIS cases to uncover potential causes.

脊柱侧凸是一种三维脊柱畸形,其特征是侧偏至少10°Cobb,分为特发性和非特发性形式,由先天性异常、神经肌肉状况或遗传综合征等可识别因素引起。这个病例报告讨论了一个15岁的女孩生长迟缓和生长激素(GH)缺乏谁经历快速脊柱侧凸进展。初步评估正常,脑电图(EEG)显示非特异性改变,但进一步评估显示MYH3基因变异与脊柱侧凸、身材矮小和明显的面部特征相关。使用里昂支架和量身定制的锻炼可以阻止弯曲的进展。该病例强调了对非典型AIS病例进行全面评估以发现潜在病因的必要性。
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引用次数: 0
New horizons for adolescent idiopathic scoliosis treatment through PosturalSpine® D'Amanti Method. PosturalSpine®D'Amanti方法治疗青少年特发性脊柱侧凸的新视野。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-01-21 DOI: 10.4081/ejtm.2025.13313
Francesca Campoli, Maria Chiara Parisi, Antonino Zoffoli, Donatella Di Corrado, Vincenzo Francavilla, Elvira Padua, Giuseppe Messina

The aim of the study is to compare improvement outcomes in patients (aged between 8 and 18 years old) with idiopathic scoliosis treated with a traditional technique with those treated with an innovative method. The study included 17 participants allocated into two groups: experimental (n=8) and control (n=9) groups. The first group was treated with a new method with PosturalSpine® D'Amanti method, twice a week for 30 min per session while the second group was treated with kinesitherapy and traditional tools three times week for 45 min per session. The two groups are similar in the anthropometric characteristics, in baseline Risser index and in the Cobb angles average and no statistically significant differences were found between the two groups. After one year of motor intervention, both treatment groups showed improvements in the progression of scoliotic curves and the PosturalSpine® group showed a significantly higher improvement than the control group. Our results therefore suggest that this new specific method with PosturalSpine® D'Amanti method could play a significant role in improving adolescent idiopathic scoliosis compared to traditional exercises.

该研究的目的是比较采用传统技术治疗特发性脊柱侧凸与采用创新方法治疗特发性脊柱侧凸患者(8 - 18岁)的改善结果。该研究包括17名参与者,分为两组:实验组(n = 8)和对照组(n = 9)。第一组采用PosturalSpine®D'Amanti方法治疗,每周2次,每次30分钟;第二组采用运动疗法和传统工具治疗,每周3次,每次45分钟。两组在人体测量特征、基线Risser指数和Cobb角平均值方面相似,两组间无统计学差异。经过一年的运动干预,两个治疗组在脊柱侧弯的进展方面都有改善,而PosturalSpine®组的改善明显高于对照组。因此,我们的研究结果表明,与传统运动相比,这种新的特殊方法与PosturalSpine®D'Amanti方法在改善青少年特发性脊柱侧凸方面发挥了重要作用。
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引用次数: 0
Oxy-inflammation in hyperbaric oxygen therapy applications. 氧炎症在高压氧治疗中的应用。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-01-20 DOI: 10.4081/ejtm.2025.12783
Gerardo Bosco, Andrea Brizzolari, Matteo Paganini, Enrico Camporesi, Alessandra Vezzoli, Simona Mrakic-Sposta

Hyperbaric Oxygen Therapy (HBOT) is a non-invasive method of O2 delivery that induces systemic hyperoxia. Hyperbaric chamber consists of a pressure vessel and a compressed breathing gas supply, which can regulate internal pressure. The chamber delivers 100% O2 to patients according to predetermined protocols and is monitored by trained personnel. HBOT relies on increasing the inspired O2 fraction (fiO2) and elevating the partial pressure of O2 (pO2). O2 is typically administered at pressures between 1.5 and 3.0 ATA for 60 to 120 minutes, depending on the clinical presentation. Currently, there are 15 indications for HBOT approved by the Undersea and Hyperbaric Medicine Society, categorized into three groups: emergency medicine, wound healing acceleration, and antimicrobial effects. The present narrative review aims to elucidate the mechanisms action underlying HBOT, particularly oxy-inflammation, in various pathologies within these categories.

高压氧治疗(HBOT)是一种诱导全身高氧的无创氧气输送方法。高压室由一个压力容器和一个压缩的呼吸气源组成,可以调节内部压力。腔室根据预定的方案向患者输送100%的氧气,并由训练有素的人员进行监测。HBOT依赖于增加吸入O2分数(fiO2)和提高O2分压(pO2)。根据临床表现,通常在1.5至3.0 ATA的压力下给予氧气60至120分钟。目前,HBOT经海底与高压氧医学学会批准的适应症有15种,分为急诊医学、加速伤口愈合和抗菌三大类。本综述旨在阐明HBOT的作用机制,特别是氧性炎症,在这些类别的各种病理中。
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引用次数: 0
Ultrasound vs. x-ray: a new way for clinicians to track scoliosis progression? 超声与x线:临床医生追踪脊柱侧凸进展的新方法?
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-02-21 DOI: 10.4081/ejtm.2025.13422
Samra Pjanić, Goran Talić, Nikola Jevtić, Filip Golić, Ivan Soldatović, Nachiappan Chockalingam

This retrospective study, utilising prospectively collected data, investigates the use of spine ultrasound as an alternative method for assessing scoliosis, with the aim of reducing radiation exposure. We included 92 patients aged 10 to 16 years with suspected idiopathic scoliosis. Exclusion criteria were weight over 150 kg, metal implants, pre-existing conditions, secondary deformities, and cognitive impairments. Each patient underwent clinical assessment and full spine radiographs, followed by spine ultrasound using the Scolioscan® system. Unprocessed B-mode ultrasound images were analysed using automatic measurements. The correlation between Ultrasound Coronal Angle (UCA) and Radiographic Cobb Angle (RCA) was evaluated at initial and follow-up visits. Strong correlations were found between UCA and RCA, with correlation coefficients ranging from 0.786 to 0.903 (p<0.001). The regression formula showed good predictive accuracy for curve progression on follow-up radiographs. The best results were observed in females and in primary thoracic curves (r = 0.936, p<0.001). Although only four patients exhibited true progression (≥5° increase in Cobb angle), changes in scoliotic angles were effectively detected using ultrasound. This study confirms the feasibility of unprocessed spine ultrasound for scoliosis monitoring in clinical settings. Automatic measurements without 3D reconstruction make ultrasound a practical tool for tracking progression. The regression model shows potential for predicting curve progression, although further validation is needed. These findings suggest spine ultrasound could reduce the need for radiographs, benefiting patients by minimising radiation exposure while providing reliable monitoring of scoliosis progression and treatment outcomes.

这项回顾性研究,利用前瞻性收集的数据,调查使用脊柱超声作为评估脊柱侧凸的替代方法,目的是减少辐射暴露。我们纳入了92例10至16岁的疑似特发性脊柱侧凸的患者。排除标准为体重超过150 kg、金属植入物、已有疾病、继发性畸形和认知障碍。每位患者都接受了临床评估和全脊柱x线片检查,随后使用脊柱超声系统进行脊柱超声检查。使用自动测量对未处理的b超图像进行分析。超声冠状角(UCA)和放射科布角(RCA)的相关性在初次和随访时进行评估。UCA与RCA之间存在较强的相关性,相关系数为0.786 ~ 0.903 (p
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引用次数: 0
Ejtm3 experiences after ChatGPT and other AI approaches: values, risks, countermeasures. Ejtm3在ChatGPT和其他AI方法之后的经验:价值、风险、对策。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2025-01-30 DOI: 10.4081/ejtm.2025.13670
Giorgio Fanò-Illic, Daniele Coraci, Maria Chiara Maccarone, Stefano Masiero, Marco Quadrelli, Aldo Morra, Barbara Ravara, Amber Pond, Riccardo Forni, Paolo Gargiulo

We invariably hear that Artificial Intelligence (AI), a rapidly evolving technology, does not just creatively assemble known knowledge. We are told that AI learns, processes and creates, starting from fixed points to arrive at innovative solutions. In the case of scientific work, AI can generate data without ever having entered a laboratory, (i.e., blatantly plagiarizing the existing literature, a despicable old trick). How does an editor of a scientific journal recognize when she or he is faced with something like this? The solution is for editors and referees to rigorously evaluate the track records of submitting authors and what they are doing. For example, false color evaluations of 2D and 3D CT and MRI images have been used to validate functional electrical stimulation for degenerated denervated muscle and a home Full-Body In-Bed Gym program. These have been recently published in Ejtm and other journals. The editors and referees of Ejtm can exclude the possibility that the images were invented by ChatGPT. Why? Because they know the researchers: Marco Quadrelli, Aldo Morra, Daniele Coraci, Paolo Gargiulo and their collaborators as well! Artificial intelligence is not banned by the EJTM, but when submitting their manuscripts to previous and to a new Thematic Section dedicated to Generative AI in Translational Mobility Medicine authors must openly declare whether they have used artificial intelligence, of what type and for what purposes. This will not avoid risks of plagiarism or worse, but it will better establish possible liabilities.

我们总是听到人工智能(AI),一种快速发展的技术,不只是创造性地组装已知的知识。我们被告知,人工智能学习、处理和创造,从固定的点开始,达到创新的解决方案。以科学工作为例,人工智能可以在没有进入实验室的情况下生成数据(即公然抄袭现有文献,这是一种卑鄙的老把戏)。科学期刊的编辑如何识别她或他面临的这种情况?解决方案是让编辑和审稿人严格评估提交作者的记录和他们在做什么。例如,2D和3D CT和MRI图像的假颜色评估已被用于验证退化失神经肌肉的功能性电刺激和家庭全身床上健身计划。这些研究最近发表在Ejtm和其他期刊上。Ejtm的编辑和审稿人可以排除ChatGPT伪造图像的可能性。为什么?因为他们知道研究人员:Marco Quadrelli, Aldo Morra, Daniele Coraci, Paolo Gargiulo和他们的合作者!EJTM不禁止人工智能,但在向以前和新的专门用于转化移动医学生成人工智能的专题部分提交手稿时,作者必须公开声明他们是否使用了人工智能,使用的类型和目的。这并不能避免抄袭或更糟的风险,但它可以更好地建立可能的责任。
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引用次数: 0
Percutaneous coronary intervention versus coronary artery bypass in treatment of non-ST-segment elevation acute syndromes: a systematic review and meta-analysis study. 比较经皮冠状动脉介入治疗和冠状动脉旁路移植治疗非 ST 段抬高急性冠状动脉综合征:系统性回顾和元分析研究》。
IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-03-31 Epub Date: 2024-11-28 DOI: 10.4081/ejtm.2024.12930
Amirmohammad Khalifehsoltani, Enwa Felix Oghenemaro, Ahmed Hussein Zwamel, M M Rekha, Manish Srivastava, Reza Akhavan-Sigari

The objective of this study is to compare the effectiveness and safety of Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Grafting (CABG) in the treatment of Non-ST-Segment Elevation Acute Coronary Syndromes (NSTE-ACS). A literature search was conducted across PubMed, Scopus, and Web of Science, covering studies up to June 2024. Studies comparing PCI and CABG in patients with NSTE-ACS were included, focusing on clinical outcomes such as mortality, myocardial infarction, cerebrovascular accidents, and the need for repeat revascularization. Data extraction and quality assessment were performed. Statistical analysis was conducted using R software, with the Mantel-Haenszel method and random-effects model employed to pool effect sizes and assess heterogeneity. A total of 15 studies met the eligibility criteria, including 48,891 patients. The pooled risk ratio (RR) for mortality showed no significant difference between PCI and CABG (RR=1.09, 95% CI: 0.90-1.19, p=0.28). CABG was associated with a significantly lower risk of subsequent MI (RR=0.56, 95% CI: 0.38-0.61, p <0.01) and the need for repeat revascularization (RR=2.94, 95% CI: 2.30-3.76, p <0.01). Conversely, PCI had a lower associated risk of CVA (RR=0.58, 95% CI: 0.42-0.79, p <0.01). High heterogeneity was observed in mortality outcomes, indicating variability among studies. The findings suggest that while PCI and CABG have comparable mortality risks in NSTE-ACS patients, CABG offers superior protection against myocardial infarction and the need for repeat revascularization, whereas PCI is associated with a lower risk of cerebrovascular accidents. These results underscore the importance of individualized patient assessment in choosing the optimal revascularization strategy, considering patient-specific risk factors and clinical profiles.

目的:本研究旨在比较经皮冠状动脉介入治疗(PCI)和冠状动脉旁路移植术(CABG)治疗非ST段抬高型急性冠状动脉综合征(NSTE-ACS)的有效性和安全性:方法:在 PubMed、Scopus 和 Web of Science 上进行文献检索,涵盖截至 2024 年 6 月的研究。方法:在PubMed、Scopus和Web Science上进行文献检索,涵盖截至2024年6月的研究。纳入的研究对NSTE-ACS患者的PCI和CABG进行了比较,重点关注死亡率、心肌梗死(MI)、脑血管意外(CVA)和重复血管重建需求等临床结果。对数据进行了提取和质量评估。使用 R 软件进行统计分析,采用 Mantel-Haenszel 法和随机效应模型来汇集效应大小和评估异质性:共有 15 项研究符合资格标准,包括 48891 名患者。综合死亡率风险比(RR)显示,PCI 和 CABG 没有显著差异(RR = 1.09,95% CI:0.90-1.19,P = 0.28)。CABG 与后续心肌梗死风险(RR = 0.56,95% CI:0.38-0.61,p < 0.01)和重复血管再通需求(RR = 2.94,95% CI:2.30-3.76,p < 0.01)显著降低相关。相反,PCI 的相关 CVA 风险较低(RR = 0.58,95% CI:0.42-0.79,p <0.01)。死亡率结果存在高度异质性,表明不同研究之间存在差异:研究结果表明,虽然PCI和CABG在NSTE-ACS患者中的死亡率风险相当,但CABG能更好地防止心肌梗死和重复血管再通的需要,而PCI与较低的脑血管意外风险相关。这些结果突出表明,在选择最佳血管再通策略时,考虑患者的特异性风险因素和临床特征,对患者进行个体化评估非常重要。
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引用次数: 0
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European Journal of Translational Myology
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