首页|补肾益智汤加减方治疗血管性痴呆的Meta分析

补肾益智汤加减方治疗血管性痴呆的Meta分析

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目的 系统评价补肾益智汤加减方治疗血管性痴呆(VD)的有效性.方法 通过计算机搜索中国期刊网(CNKI)、维普数据库(CQVIP)、万方数据库(Wanfang Data)、PubMed、Embase,时间范围设置为建库至 2022 年 11月.根据纳入标准和排除标准,收集补肾益智汤加减方对比常规西药治疗VD的临床随机对照试验文献.通过 2名评价者独立评价文献质量.然后提取文献中总体疗效、简易智能评定量表、日常生活评定量表、长谷川痴呆量表、Berg平衡量表、观察期等数据,使用RevMan 5.4 软件进行Meta分析.结果 共纳入 9 项中文研究文献,总计1636例患者.Meta分析结果显示:试验组临床疗效总有效率[RR=1.37,95%CI(1.29,1.45),P<0.00001];简易精神状态检查量表(MMSE)评分[MD=2.79,95%CI(2.29,3.29),P<0.00001]、长谷川痴呆量表(HDS)[MD=4.77,95%CI(4.04,5.50),P<0.00001]、Berg平衡量表[MD=4.99,95%CI(1.14,8.84),P=0.01]均高于对照组.结论 补肾益智汤加减方治疗VD综合疗效优良,可提高患者生存质量,且治疗效果高于单纯西药组.
Meta-analysis of Bushen Yizhi Decoction in the Treatment of Vascular Dementia
Objective To systematically evaluate the efficiency of Bushen Yizhi Decoction in the treatment of Vascular Dementia by Meta analysis.Methods Computerized searches were con-ducted on CNKI,CQVIP,Wanfang Data,PubMed,and Embase,with the timeframe set to run from the establishment to November 2022.According to the inclusion and exclusion criteria,all the randomized controlled trials literature of Bushen Yizhi Decoction compared with western medicine in the treatment of Vascular Dementia were gathered.The two reviewers evaluated the paper quality after selected experiment,abstracted information and cross-checked inde-pendently.The overall efficacy,Mini-Mental State Examination,activity of daily living scale,Ha-segawa dementia scale,Berg balance scale,observation period and other data were extracted from the literature,and the RevMan 5.4 software was used for meta-analysis.Results 9 studies were enrolled in the research,included 1636 patients.The Meta-analysis showed that the total clinical efficacy rate of the test group[RR=1.37,95%CI(1.29,1.45),P<0.00001],the scores of the Brief Mental State Examination(MMSE)scale[MD = 2.79,95%CI(2.29,3.29),P<0.00001],the Hasegawa Dementia Scale(HDS)[MD=4.77,95%CI(4.04,5.50),P<0.00001],and Berg Balance Scale[MD=4.99,95%CI(1.14,8.84),P=0.01]were better than those of the control group.Conclusion Bushen Yizhi Decoction is effective in the treatment of Vascular De-mentia,which can improve the quality of patients'survival,and the therapeutic effect is higher than that of the western medicine group.

Bushen Yizhi DecoctionVascular DementiaMeta-Analysissystematic review

王曦、王政喻、蔡元钦、欧静、曾楚华

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湖北民族大学医学部(湖北 恩施 445000)

补肾益智汤加减方 血管性痴呆 Meta分析 系统评价

国家自然科学基金

82060831

2024

湖北民族大学学报(医学版)

湖北民族大学学报(医学版)

ISSN:
年,卷(期):2024.41(1)
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