中医药导报2024，Vol.30Issue(7) ：141-147.DOI:10.13862/j.cn43-1446/r.2024.07.027

基于中医"治未病"理论的健康管理改善高血压前期人群健康结局的Meta分析

Meta Analysis of Health Management Based on the Theory of"Preventive Treatment of Disease"in Traditional Chinese Medicine to Improve the Health Outcomes of People with Prehypertension

张亦然 朱盛财 罗岗 朱璐 王康美 黄沂
中医药导报2024，Vol.30Issue(7) ：141-147.DOI:10.13862/j.cn43-1446/r.2024.07.027
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  • 万方数据

基于中医"治未病"理论的健康管理改善高血压前期人群健康结局的Meta分析

Meta Analysis of Health Management Based on the Theory of"Preventive Treatment of Disease"in Traditional Chinese Medicine to Improve the Health Outcomes of People with Prehypertension

张亦然 1朱盛财 1罗岗 2朱璐 1王康美 1黄沂2
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作者信息

  • 1. 广西中医药大学护理学院,广西 南宁 530200
  • 2. 广西中医药大学第一附属医院,广西 南宁 530023
  • 折叠

摘要

目的:系统评价中医健康管理改善高血压前期人群健康结局的有效性.方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、Cochrane Library、PubMed、Web of Science、CINAHL中有关中医"治未病"理论的健康管理改善高血压前期人群健康结局的随机对照试验及类实验研究,检索时限为建库至2023年8月10日.由2名研究者进行文献筛选、质量评价及提取资料工作,采用RevMan 5.4及Stata 17软件进行分析.结果:共纳入9项随机对照试验、2项实验研究.干预组收缩压[MD=-5.08,95％CI(-6.44,-3.72),P＜0.000 01]、舒张压[MD=-3.78,95％CI(-5.13,-2.44),P＜0.000 01]、头痛发生率[OR=0.35,95％CI(0.25,0.49),P＜0.000 01]、眩晕发生率[OR=-0.15,95％CI(-0.21,-0.08),P＜0.000 01]、全血黏度[MD=-1.05,95％CI(-1.14,-0.96),P＜0.000 01]、甘油三酯[MD=-0.67,95％CI(-0.75,-0.59),P＜0.000 01]均低于对照组,差异均有统计学意义.结论:基于中医"治未病"理论的健康管理能有效改善高血压前期人群的健康结局,但其模式仍需进一步规范.

Abstract

Objective:To systematically evaluate the effectiveness of traditional Chinese medicine(TCM)health management in improving the health outcomes of people with prehypertension.Methods:Computer searches were conducted on China National Knowledge Infrastructure,Wanfang Database,VIP Database,Chinese Biomedical Literature Database,Cochrane Library,PubMed,Web of Science,and CINAHL for randomized con-trolled trials and similar experimental studies on the health management of TCM theory of"preventive treatment of disease"to improve the health outcomes of prehypertensive populations.The search period was from the establishment of the database to August 10,2023.Literature screening,quality evaluation and data extraction were carried out by two researchers.RevMan5.4 and Stata 17 software were used for analysis.Result:A total of 9 randomized controlled trials and 2 experimental studies were included.Intervention group systolic blood pressure[MD=-5.08,95％CI(-6.44,-3.72),P＜0.000 01],diastolic blood pressure[MD=-3.78,95％CI(-5.13,-2.44),P＜0.000 01],incidence of headache[OR=0.35,95％CI(0.25,0.49),P＜0.000 01],incidence of dizziness[OR=-0.15,95％CI(-0.21,-0.08),P＜0.000 01],whole blood viscosity[MD=-1.05,95％CI(-1.14,-0.96),P＜0.000 01],triglycerides[MD=-0.67,95％CI(-0.75,-0.59),P＜0.000 01]were all lower than the control group,and the differences were statistically significant.Conclusion:Health management based on the theory of"preventive treatment of disease"in TCM can effectively improve the health outcomes of pre hypertensive populations,but its model still needs further standardization.

关键词

高血压前期人群/正常高值血压/中医健康管理/治未病/健康结局/Meta分析

Key words

prehypertensive population/high-normal blood pressure/traditional Chinese medicine health management/preventive treatment of disease/health outcomes/Meta-analysis

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基金项目

国家自然科学基金项目(72164003)

广西中医药重点学科建设项目(GZXK-Z-20-56)

出版年

2024
中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子：0.952
ISSN：1672-951X
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