OBJECTIVE To review the efficacy and safety of ambroxol for lung protection in perioperative period. METHODS Random controlled trails (RCTs), systematic review (SR), and meta-analysis of ambroxol for lung protection in perioperative period were searched in Cochrane, PubMed, Embase, ISI, CBMdisc, CNKI, VIP and Wangfang dababase; the methodology quality of every RCT was evaluated, then meta-analysis was performed by software of RevMan5.0.0. RESULTS Twelve RCTs of ambroxol for lung protection in perioperative period were included. According to the meta-analysis results, the ambroxol group was better than the control group in pulmonary complications [RR 0.55,95%CI (0.40, 0.74), P=0. 000 1], The cough and expectoration degree in the ambroxol group was better than the control group [RR 1.25,95%CI (1.09, 1.44), P=0.001]. The ambroxol group was also better than the control group in sputum volume [RR 1.24,95%CI(1.12, 1.38), P
SU Na,WU Bin, LU Jing,XU Ting.
Efficacy and Safety of Ambroxol for Lung Protection in Perioperative Period: A Systematic Review[J]. Chinese Pharmaceutical Journal, 2012, 47(14): 1154-1157
[1] AIT KENKEAD A R, SMIT H G. Textbook of Anat Hesia[M]. Third edition. Livingstone: Churchill,1999.
[2] FEGIZ G. Prevention by ambroxol of bronchopulmonary complications after upper abdominal surgery : doubleblind Italian multicenter clinical study versus placebo[J]. Lung,1991,169(2):69-76.
[3] GIBBS B F, SCHMUTZLER W, VOLLRATH I B, et al. Ambroxol inhibits the release of histamine, leukotrienes and cytokines from human leukocytes and mast cells[J]. Infl Amm Res,1999,48(2): 86-93.
[4] JUNI P, ALTMAN D G, EGER M. Assessing the quality of controlled clinical trails[J]. BMJ,2001,323(7303):42-46.
[5] HIGGINS J P T, GREEN S. Cochrane Handbook for Systematic Reviews of Interventions Version 5. 0. 0 [J/OL]. The Cochrane Collaboration,2008, [2008-02-01]. http://www.cochrane-handbook.org
[6] HIGGINS J P T, THOMPSON S G. Quantifying heterogeneity in a meta-analysis[J]. Stat Med, 2002,21(11):1539-1558.
[7] LI L. Aerosol inhalation with ambroxol in prevention of postoperative pulmonary complications and nursing observation [J]. Chin J Misdiagn(中国误诊学杂志),2009,9(2): 285-286.
[8] REFAI M A. Brunelli. Short-term perioperative treatment with ambroxol reduces pulmonary complications and hospital costs after pulmonary lobectomy: a randomized trial[J]. Eur J Cardiothorac Surg,2009,35(3): 469-473.
[9] XIA H W. Ambroxol in prevention of esophageal carcinoma postoperative respiratory complications in the application [J]. J Qiqihear Med Coll (齐齐哈尔医学院学报),2008,29(5): 558-559.
[10] FANG M. Aerosol inhalation of ambroxol in prevention and treatment of complications after thoracic surgery curative effect observation [J]. Fam Nur (家庭护士),2008, 6(16): 1428-1429.
[11] ULAS M M,HIZARCI M. Protective effect of ambroxol on pulmonary function after cardiopulmonary bypass[J]. J Cardiovasc Pharmacol, 2008, 52(6):518-523.
[12] FU W. Preoperative ambroxol aerosol inhalation on senile pulmonary complications for patients after undergoing thoracotomy role [J]. Clin Med China(中国综合临床),2007, 23(3): 277-278.
[13] LIU J. Large dose of ambroxol in minimally invasive department of thoracic surgery postoperative clinical application effect [J]. J Pract Med (实用医学杂志),2006,22(16): 1930-1931.
[14] CAO X. Ambroxol atomization inhalation to treat infants with lung injury after cardiopulmonary bypass: Observation of clinical efficacy [J]. Chin Cont Med Sci (中华当代医学·护理版),2006,4(1): 4-5.
[15] LUO W J. Observation on postoperative respiratory complications in elderly patients prevention function [J]. Clin Anest Hesiol(临床麻醉学杂志),2005,21(9): 24-25.
[16] HAO M H, CHEN Z Q. Ambroxol prevents chest operation complications of clinical efficacy and safety study [J]. Clin Med China(中国综合临床), 2003,19(9): 847-848.
[17] TANG B Y. Ambroxol hydrochloride can reduce open-heart operation pulmonary atelectasis after [J]. Acad J Sun Yat-sen Univ Med Sci (中山医科大学学报), 2001,22(4): 286-288.
[18] FEGIZ G. Prevention by ambroxol of bronchopulmonary complications after upper abdominal surgery: double-blind Italian multicenter clinical study versus placebo[J]. Lung,1991,169(2): 69-76.