首页|少腹逐瘀汤治疗寒凝血瘀型原发性痛经有效性和安全性的meta分析

少腹逐瘀汤治疗寒凝血瘀型原发性痛经有效性和安全性的meta分析

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目的 对少腹逐瘀汤治疗寒凝血瘀型原发性痛经(PD)的有效性和安全性进行系统评价.方法 检索中文和外文数据库关于少腹逐瘀汤治疗寒凝血瘀型PD的随机对照试验.数据提取和质量评估分别由2名独立评估员进行,有效数据则使用RevMan 5.3.3软件进行meta分析.结果 共纳入8个临床对照试验研究,收集病例797例,meta分析研究结果表明,对寒凝血瘀型PD患者,使用少腹逐瘀汤治疗痛经在总有效率、中医症候评分、疼痛视觉模拟评分、前列腺素E2(PGE2)方面相较于单纯常规治疗差异有统计学意义(P<0.05).结论 寒凝血瘀型PD患者服用少腹逐瘀汤有较好的疗效,安全性较高,但仍存在一定的局限性,需要更多大样本、高质量、多中心、随机、双盲对照试验加以验证,提供更高级别的循证医学证据支持.
Meta-Analysis on the Therapeutic Effectiveness and Safety Profile of Shaofu Zhuyu Decoction in the Treatment of Primary Dysmenorrhea of Cold Coagulation and Blood Stasis Type
Objective To systematically evaluate the clinical efficacy and safety of Shaofu Zhuyu Decoction in the treatment of primary dysmenorrhea(PD)of cold coagulation and blood stasis type.Methods Chinese databases and foreign databases were searched for randomized controlled trials of Shaofu Zhuyu Decoction in the treatment of PD of cold coagulation and blood stasis type.Data extraction and quality evaluation were carried out by two independent evaluators respectively.Meta analysis of valid data was performed using RevMan 5.3.3 software.Results A total of 8 controlled clinical trials were included,and 797 cases were collected.The results of meta-analysis showed that Shaofu Zhuyu Decoction in the treatment with PD of cold coagulation and blood stasis type had statistical significance compared with conventional treatment in terms of total effective rate,traditional Chinese medicine symptom score,visual analogue scale of pain,and prostaglandin E2(PGE2)(P<0.05).Conclusion Shaofu Zhuyu Decoction has obvious therapeutic effect and has high safety level,but it still has certain limitations,which needs to be verified by more large samples,high-quality,multi-center,randomized,double-blind controlled trials,so as to provide higher level of evidence-based medical evidence.

Shaofu Zhuyu Decoctionprimary dysmenorrhea of cold coagulation and blood stasis typerandomized controlled trialsmeta-analysis

张梅、黄鹂、宋梦瑶、潘娜、田怿淼

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郑州市妇幼保健院药学部,河南郑州 450000

少腹逐瘀汤 寒凝血瘀型原发性痛经 随机对照试验 meta分析

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(19)