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计学意义。 severe traumatic brain injury:a randomized controlled tri-
本研究的局限性:(1)部分纳入的研究未描述随机 al[J]. Crit Care,2008. DOI:10.1186/cc6887.
方法,也未阐述分配隐藏方案,存在选择偏倚可能;(2) [12] SOLTANI Z,SHAHROKHI N,KARAMOUZIAN S,et al.
部分纳入研究未描述盲法,存在实施偏倚可能;(3)本研 Does progesterone improve outcome in diffuse axonal in-
究纳入的样本量较小,可能存在发表偏倚。故此结论需 jury?[J]. Brain Inj,2017,31(1):16-23.
[13] MOFID B,SOLTANI Z,KHAKSARI M,et al. What are
谨慎对待,尚需更多大样本、多中心、高质量的RCT进一
the progesterone-induced changes of the outcome and the
步验证。
serum markers of injury,oxidant activity and inflamma-
参考文献
tion in diffuse axonal injury patients? [J]. Int Immuno-
[ 1 ] 丁涟沭.创伤性脑损伤后标志物的研究进展[J/CD].中华
pharmacol,2016. DOI:10.1016/j.intimp.2016.01.015.
神经创伤外科电子杂志,2015,1(1):42-44. [14] XIAO GM,WEI J,WU ZH,et al. Clinical study on the
[ 2 ] MAAS AIR,MENON DK,ADELSON PD,et al. Traumat-
therapeutic effects and mechanism of progesterone in the
ic brain injury:integrated approaches to improve preven-
treatment for acute severe head injury[J]. Zhonghua Wai
tion,clinical care,and research[J]. Lancet Neurol,2017, Ke Za Zhi,2007,45(2):106-108.
16(12):987-1048.
[15] AMINMANSOUR B,NIKBAKHT H,GHORBANI A,et
[ 3 ] 康德智,孙炜,魏俊吉,等.加强多学科协作,推动重型颅 al. Comparison of the administration of progesterone ver-
脑创伤患者的早期康复治疗[J].中华医学杂志,2017,97 sus progesterone and vitamin D in improvement of out-
(21):1602-1603.
comes in patients with traumatic brain injury:a random-
[ 4 ] 江基尧.中国颅脑创伤的发展方向[J].中华创伤杂志, ized clinical trial with placebo group[J]. Adv Biomed Res,
2015,31(9):774-776. 2012. DOI:10.4103/2277-9175.100176.
[ 5 ] MORGANTI-KOSSMANN MC,RANCAN M,OTTO VI, [16] SHAKERI M,BOUSTANI MR,PAK N,et al. Effect of
et al. Role of cerebral inflammation after traumatic brain progesterone administration on prognosis of patients with
injury:a revisited concept[J]. Shock,2001,16(3):165- diffuse axonal injury due to severe head trauma[J]. Clin
177. Neurol Neurosurg,2013,115(10):2019-2022.
[ 6 ] 蒋天伟,杭春华.创伤性脑损伤中孕酮的应用研究进展 [17] ABOUKHABAR H,ABOUELELA A,MOUSA S,et al.
[J].中华实验外科杂志,2016,33(3):851-854. Impact of progesterone administration on outcome of pa-
[ 7 ] ANDERSON GD,FARIN FM,BAMMLER TK,et al. The tients with severe traumatic brain injury[J]. Res Opi Anes-
effect of progesterone dose on gene expression after trau- th Intensive Care,2017. DOI:10.4103/roaic.roaic_106_16.
matic brain injury[J]. J Neurotrauma,2011,28(9):1827- [18] 傅西安,王旭阳.创伤性脑损伤的研究热点问题[J].国际
1843. 外科学杂志,2013,40(11):729-731.
[ 8 ] WRIGHT DW,KELLERMANN AL,HERTZBERG VS, [19] CUTLER SM,CEKIC M,MILLER DM,et al. Progester-
et al. ProTECT:a randomized clinical trial of progester- one improves acute recovery after traumatic brain injury
one for acute traumatic brain injury[J]. Ann Emerq Med, in the aged rat[J]. J Neurotrauma,2007,24(9):1475-
2007,49(4):391-402. 1486.
[ 9 ] SKOLNICK BE,MAAS AI,NARAYAN RK,et al. A clin- [20] WRIGHT DW,BAUER ME,HOFFMAN SW,et al. Se-
ical trial of progesterone for severe traumatic brain injury rum progesterone levels correlate with decreased cerebral
[J]. N Engl J Med,2014,371(26):2467-2476. edema after traumatic brain injury in male rats[J]. J Neu-
[10] WRIGHT DW,YEATTS SD,SILBERGLEIT R,et al. rotrauma,2001,18(9):901-909.
Very early administration of progesterone for acute trau- [21] 王冬梅,常杰,白云贤,等.急性颅脑损伤血清性激素水平
matic brain injury[J]. N Engl J Med,2014,371(26):2457- 变化与预后的研究[J].中华神经外科杂志,2014,30(7):
2466. 715-717.
[11] XIAO G,WEI J,YAN W,et al. Improved outcomes from (收稿日期:2018-07-20 修回日期:2018-11-21)
the administration of progesterone for patients with acute (编辑:陈 宏)
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