首页|Treatment of diabetic kidney disease of stage Ⅲ-Ⅳ with Yiqi Wenyang Huoxue therapy: A meta-analysis

Treatment of diabetic kidney disease of stage Ⅲ-Ⅳ with Yiqi Wenyang Huoxue therapy: A meta-analysis

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Objective: To systematically evaluate the effect of Yiqi Wenyang Huoxue therapy in treating diabetic kidney disease(DKD) of stage Ⅲ-Ⅳ. Method: The relevant literature was retrieved by computer from CNKI, Wanfang and VIP databases,CBM,PubMed,EMBase,Cochrane Library and Web of Science. Articles screening and data extraction were performed by two researchers separately and independently. The Meta-analysis was conducted with RevMan 5.3. Results: A total of 10 randomized controlled trials were collected,including 778 cases with DKD. Meta-analysis showed that the Yiqi Wenyang Huoxue Method combined with western medicine basic treatment could reduce 24hUTP[MD=-0.36, 95%CI (-0.46, -0.26), P <0.00001], UAER[MD=-36.72,95%CI (-47.21, -26.23), P<0.00001], Scr[MD= -16.28, 95%CI(-20.59,-11.97),P<0.00001],BUN[MD=-1.45,95%CI(-1.76,-1.14), P <0.00001], TC[MD=-0.64, 95%CI(-1.07,-0.21), P=0.004].There was also a reduction in HbA1c[MD=-0.50,95%CI (-0.94, -0.05),P =0.03], but the difference is not significant. Conclusion: Based on the current evidence, for the treatment of DKD of stage Ⅲ-IV, basic western medicine treatment combined with Yiqi Wenyang Huoxue method may better reduce urine protein, total cholesterol levels and improve renal function. The conclusion of this study needs to be further researched by high-quality studies, because that the quality of the included studies is generally low.

Yiqi Wenyang Huoxue therapyDiabetic kidney diseaseMeta-analysisRandomized controlled trial

Li-Sha Yuan、Ning Zhang、Rong-Lu Yang、Fang-Ning Yu、Xing-Yun Guo

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Beijing University of Chinese Medicine,Beijing 100029,China

Department of Nephrology and Endocrinology,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China

National Natural Science Foundation of China

81973801

2022

海南医科大学学报(英文版)

海南医科大学学报(英文版)

ISSN:
年,卷(期):2022.28(2)
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