首页|苍附导痰汤联合针灸治疗多囊卵巢综合征Meta分析

苍附导痰汤联合针灸治疗多囊卵巢综合征Meta分析

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目的 应用Meta分析研究方法,对苍附导痰汤联合针灸治疗痰湿瘀阻证多囊卵巢综合征(PCOS)的临床疗效进行系统评价,为临床治疗提供参考.方法 计算机检索多个数据库中运用苍附导痰汤加减联合针灸治疗PCOS的随机对照试验(RCT),检索时限为2010 年1 月1 日—2023 年3 月15 日,按照纳排标准筛选和提取资料,使用Revman 5.4 软件进行Meta分析.结果 共纳入8 项RCT研究,涉及患者651 例.苍附导痰汤加减联合针灸治疗PCOS,在改善月经恢复情况、排卵率、妊娠率、性激素卵泡生成激素(FSH)、黄体生成激素(LH)、雌二醇(E2)、睾酮(T)均优于对照组,比较差异均有统计学意义(P<0.05).结论 苍附导痰汤联合针灸治疗PCOS,较单纯应用西药疗效更好,但由于纳入文献的质量较低,故结果需更多高质量的RCT以提供更多的循证医学证据.
Cangfu Daotan Decoction combined with acupuncture and moxibustion for polycystic ovary syndrome:A meta-analysis
Objective The meta-analysis aimed to systematically evaluate the clinical efficacy of Cangfu Daotan Decoction combined with acupuncture and moxibustion for polycystic ovary syndrome(PCOS)with syndrome of phlegm-damp stagnation,thus providing reference for clinical treatment.Methods Randomized controlled trials(RCTs)about Cangfu Daotan Decoction with acupuncture and moxibustion for PCOS which published from January 1,2010 to March 15,2023 were retrieved in multiple databases.Eligible Data was performed for a meta-analysis using Revman 5.4 software.Results Eight RCTs representing 651 patients were included.The combination therapy presented significantly improved menstrual recovery,ovulation rate,pregnancy rate,follicle-stimulating hormone(FSH),luteinizing hormone(LH),estrogen(E2),testosterone(T)relative to the controls.Conclusion Cangfu Daotan Decoction combined with acupuncture and moxibustion is superior to Western medicine alone for PCOS.However,most reports included in this study had low levels of evidence.Hence,high-quality RCTs will be needed to support the results,thus providing evidence-based medicine for PCOS.

Polycystic ovary syndromeCangfu Daotan DecoctionAcupuncture and moxibustionMeta-analysis

高红梅、高运红、蔡淑芳、孙立芳、赵柏玲

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河北省献县中医医院妇产科,河北 献县 062250

多囊卵巢综合征 苍附导痰汤 针灸疗法 Meta

河北省中医药管理局科研计划项目

2022607

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(9)