文档介绍:子宫内膜异位症患者的循证治疗
【摘要】目的借助循证医学的方法为1 例初诊子宫内膜异位症病患者确定治疗目标及治疗方案。方法在充分评估患者情况后,提出临床问题,从Cochrane图书馆(2010 年第4 期)、Medline (-)、Embase(-)和Pubmed (-),检索主题词为:endometriosis; treatment strategy; gonadotropin releasing hormone agonist (GnRH-a); laparotomy;laparoscopy; recur; RCT;meta-analysis; systematic review。结果共检索出与不同问题相关的随机对照试验329篇,系统评价或Meta分析35 篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。结论采用循证治疗的方法,为初治的子宫内膜异位症患者确定合理的治疗目标和治疗方案,可有效提高治疗效果,改善患者生活质量。
【关键词】子宫内膜异位症;循证治疗;系统评价
[Abstract] Objective Methods of evidence-based medicine were used to make an individualized treatment plan for one case of newly diagnosed patients with endometriosis. Methods After clinical problems were put forward, evidence was collected from fourth issue, 2010, Cochrane Library; Medline ( -); Embase (-); Pubmed (-). Subject words were: endometriosis; treatment strategy; gonadotropin releasing hormone agonist (GnRH-a); laparotomy; laparoscopy; recur; RCT; meta-analysis; systematic review. Results A total of 329 RCTs and 35 systematic reviews were identified. A rational treatment plan was made up on a serious evaluation of the data. Conclusion The treatment efficacy in newly diagnosed endometriosis has been improved by determining an individualized treatment plan according to evidence-based methods. The therapeutic effect and the life quality of the patient