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甘麦大枣汤治疗肿瘤相关性抑郁Meta分析

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目的:系统评价甘麦大枣汤治疗肿瘤相关性抑郁的临床疗效.方法:计算机检索中国知网、万方数据数据库、维普数据库、中国生物医学文献数据库、PubMed、Cochrane Library、Web of Science等数据库,收集自建库起至2023年6月30日有关甘麦大枣汤治疗肿瘤相关性抑郁的随机对照临床试验文献,使用Review Manager 5.4.1软件进行Meta分析.结果:本研究共纳入10篇文献,包含739例患者,观察组370例,对照组369例.Meta分析结果显示,经甘麦大枣汤治疗后,观察组有效率高于对照组[OR=1.91,95%CI(1.07,3.40),P=0.03];观察组汉密尔顿抑郁量表评分低于对照组[MD=-8.17,95%CI(-13.12,-3.22),P=0.001];观察组抑郁自评量表评分低于对照组[MD=-17.45,95%CI(-23.18,-11.72),P<0.000 1];观察组CD3+水平高于对照组[MD=9.85,95%CI(8.75,10.94),P<0.000 01];观察组 CD4+水平高于对照组[MD=5.85,95%CI(3.14,8.56),P<0.000 1];观察组 CD8+水平低于对照组[MD=-4.82,95%CI(-6.45,-3.18),P<0.000 01];观察组与对照组CD4+/CD8+比较,差异无统计学意义[MD=0.31,95%CI(-0.12,0.75),P=0.16];观察组自然杀伤细胞水平高于对照组[MD=34.26,95%CI(20.52,47.99),P<0.000 01];观察组生活质量评分高于对照组[MD=12.14,95%CI(10.76,13.51),P<0.000 01].结论:甘麦大枣汤治疗肿瘤相关性抑郁疗效显著,能改善患者的抑郁状态,提高免疫水平及生活质量.
A Meta-analysis of Licorice and Wheat and Jujube Decoction for Treating Malignant Cancer-Related Depression
Objective:To systematically review the clinical efficacy of Licorice and Wheat and Jujube Decoction in treating cancer-related depression.Methods:The computer was used to search databases such as China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP Database,China Biomedical Literature Database,PubMed,Cochrane Library,and Web of Science to collect randomized con-trolled clinical trials on Licorice and Wheat and Jujube Decoction for treating cancer-related depression from the establishment of the database to June 30,2023,and a Meta-analysis was conducted using Review Manager 5.4.1 software.Results:A total of 10 articles were included in this review,involving a total of 739 patients,with 370 in the observation group and 369 in the control group.The Meta-analy-sis showed that the effective rate in the observation group was higher than that in the control group after treatment with Licorice and Wheat and Jujube Decoction[OR=1.91,95%CI(1.07,3.40),P=0.03].The HAMD score in the observation group was lower than that in the control group[MD=-8.17,95%CI(-13.12,-3.22),P=0.001].The SDS score in the observation group was lower than that in the control group,and the difference was statistically significant[MD=-17.45,95%CI(-23.18,-11.72,P<0.000 01].The level of CD3+in the observation group was higher than that in the control group[MD=9.85,95%CI(8.75,10.94),P<0.000 01].The level of CD4+in the observation group was higher than that in the control group[MD=5.85,95%CI(3.14,8.56),P<0.000 1].The level of CD8+in the observation group was lower than that in the control group[MD=-4.82,95%CI(-6.45,-3.18),P<0.000 01].In terms of CD4+/CD8+,there was no significant difference between the observation group and the control group(MD=0.31,95%CI(-0.12,0.75),P=0.16);the NK level in the observation group was higher than that in the con-trol group(MD=34.26,95%CI(20.52,47.99),P<0.000 1);the quality of life score in the observation group was higher than that in the control group(MD=12.14,95%CI(10.76,13.51),P<0.000 1).Conclusion:Licorice and Wheat and Jujube Decoction has significant therapeutic effects in treating cancer-related depression,which can improve the patients'depressive state,enhance immune function and quality of life.

cancer-related depressionLicorice and Wheat and Jujube DecoctionMeta-analysisSynopsis of the Golden ChamberZhang Zhongjing

蔡慧敏、张亚玲、郑玉玲

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河南中医药大学,河南郑州 450046

河南中医药大学第一附属医院,河南郑州 450000

恶性肿瘤相关性抑郁 甘麦大枣汤 Meta分析 《金匮要略》 张仲景

全国名老中医药专家传承工作室建设项目全国名中医传承工作室建设项目

国中医药人教函[2022]75号国中医药办人教函[2022]245号

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(6)