目的探讨术前高敏C反应蛋白(high-sensitivity C-reactive protein,hs-CRP)水平与冠脉药物支架(DES)植入术后再狭窄(ISR)的关系。方法检索维普中文期刊全文数据库、中国生物医学文献数据库、中国知网、PubMed数据库,收集相关原始研究;采用文献质量评价结合Meta分析的方法分析。结果 ISR组患者术前hs-CRP水平显著高于非ISR组的hs-CRP水平,中国人群和随访时间为6个月的亚组分析表明,ISR组患者术前hs-CRP水平显著高于非ISR组的hs-CRP水平。异质性分析显示纳入文献存在显著异质性。偏倚分析表明发表的文章不存在偏倚。结论术前hs-CRP水平与DES植入术后ISR的发生存在显著相关性。
Objective To explore the association of baseline high-sensitivity C-reactive protein ( hs-CRP) with in stent restenosis ( ISR) after coronary drug elute stenting ( DES) . Methods PubMed,Vip Chinese Journal Full-text Databank,Chinese Biomedical Database ( CBM) ,Chinese National Knowledge Infrastructure ( CNKI ) and PubMed were retrieved for related primary studies. Literature qualification estimation combined Meta analysis were adopted to analysis. Results The baseline level of hs-CRP was significantly higher in ISR group than in no-ISR group. Subgroup analysis for Chinese population and the patients with 6 month follow-up was in agree with the mainly results. Heterogeneity analysis revealed a significantly heterogeneity across the studies. Funnel plots suggested little publication bias. Conclusions The baseline level of hs-CRP is significantly associated with the ISR after DES implantation.