首页|含荜铃胃痛颗粒的中西医结合疗法治疗幽门螺杆菌的Meta分析

含荜铃胃痛颗粒的中西医结合疗法治疗幽门螺杆菌的Meta分析

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目的:探究荜铃胃痛颗粒联合西药三联或四联的中西医结合疗法与传统西药疗法根除幽门螺杆菌(H.pylori)的有效性及安全性.方法:检索PubMed、Embase、Cochrane Library、中国知网、万方数据库、中国生物医学文献服务系统,收集有关荜铃胃痛颗粒应用于H.pylori根除治疗的随机对照研究,检索年限均为数据库建库至2022 年 11 月,根据Cochrane系统评价方法对检索到的文献进行数据提取以及文献质量评估.采用RevMan 5.4 软件进行Meta分析.结果:共纳入4 篇文献,506 例患者.Meta 分析结果显示,在 H.pylori 根除率方面,试验组高于对照组(OR=4.18,95%CI:2.57~6.79,I2=0%,P<0.00001).在安全性方面,试验组不良反应发生率低于对照组(OR=0.30,95%CI:0.10~0.85,I2=0%,P=0.02).结论:含荜铃胃痛颗粒的中西医整合治疗方案在疗效与安全性方面均明显优于西药四联、三联疗法.
Meta-analysis of integrated traditional Chinese and Western medicine therapy with Biling Weitong Granules in the treatment of Helicobacter pylori infection
Objective:To investigate the efficacy and safety of the integrated traditional Chinese and Western medicine therapy with Biling Weitong Granules in combination with conventional Western medicine quadruple or triple therapy compared to traditional Western medicine therapy for eradicating Helicobacter pylori(H.pylori).Methods:PubMed,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database and Sinomed were searched,and the randomized con-trolled studies about the application of Biling Weitong Granule for eradicating H.pylori eradication were collected.The retrieval period was from the establishment of the database to November 2022.Data ex-traction and literature quality evaluation were performed on the retrieved literature according to the Co-chrane system evaluation method.Meta-analysis was performed using RevMan 5.4 software.Results:A total of 4 articles and 506 patients were included.The results of Meta-analysis showed that the eradication rate of H.pylori in the experimental group was higher than that in the control group(OR=4.18,95%CI:2.57-6.79,I2=0%,P<0.00001).In terms of safety,the incidence of ad-verse reactions in the experimental group was lower than that in the control group(OR=0.30,95%CI:0.10-0.85,I2=0%,P=0.02).Conclusion:The integrated traditional and Western medicine treatment regimen with Biling Weitong Granules is significantly better than the western medicine quad-ruple and triple therapy in terms of efficacy and safety.

Helicobacter pyloriBiling Weitong GranulesIntegrated traditional Chinese and western medicineEradicate treatment

孟旨毅、孟宪梅、刘飞飞、张静洁、年媛媛、王驰

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包头医学院第二附属医院消化内科,内蒙古 包头 014030

幽门螺杆菌 荜铃胃痛颗粒 中西医结合 根除治疗

2024

包头医学院学报
内蒙古科技大学包头医学院

包头医学院学报

影响因子:0.543
ISSN:1006-740X
年,卷(期):2024.40(6)