首页|复方血栓通胶囊治疗非增殖期糖尿病视网膜病变效果的Meta分析

复方血栓通胶囊治疗非增殖期糖尿病视网膜病变效果的Meta分析

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目的 系统评价复方血栓通胶囊治疗非增殖期糖尿病视网膜病变(NPDR)的效果。方法 计算机检索中国知网、万方、维普、中国生物医学文献数据库(CBM)、Embase、PubMed和The Cochrane Library数据库(检索时间为建库至 2022年4月),纳入复方血栓通胶囊治疗NPDR的随机对照研究。2位分析员独立筛选、阅读、提取文献资料并评价相关偏倚风险后,采用RevMan5。3 软件进行Meta分析。结果 共纳入 8 条文献,包括1048 例患者。Meta分析结果显示,与对照组相比,试验组可显著提高患者的临床疗效[RR=1。27,95%CI(1。18,1。36),P<0。00001],减轻黄斑水肿[MD=-26。27,95%CI(-35。72,-16。83),P<0。00001],改善患者眼动脉血流动力学指标[MDPSV=1。10,95%CI(0。82,1。39),P<0。00001;MDEDV=0。73,95%CI(0。60,0。86),P<0。00001;MDRI=-0。02,95%CI(-0。03,-0。01),P<0。00001];试验组与对照组的视网膜中央动脉血流动力学指标无显著差异(P>0。05)。结论 复方血栓通胶囊可显著提高NPDR患者的临床疗效、减轻黄斑水肿、改善眼动脉血流动力学指标,但对视网膜中央动脉血流动力学指标无显著改善作用。
Efficacy of compound Xueshuantong capsule for non-proliferative diabetic retinopathy:a Meta-analysis
Objective To evaluate the efficacy of compound Xueshuantong capsule in the treatment of non-proliferative diabetic retinopathy(NPDR)systematically.Methods CNKI,Wanfang,VIP,Chinese Biology Medicine(CBM),Embase,PubMed and The Cochrane Library were searched by computer(the search time was from the establishment of the database to April 2022)to include the randomized controlled study of compound Xueshuantong capsule in the treatment of NPDR.Meta-analysis was performed using RevMan5.3 software after two analysts independently screened,read and extracted literature and assessed the risk of bias.Results A total of 8 articles were included,including 1048 patients.The results of Meta-analysis showed that compared with the control group,the experimental group could significantly improve the clinical efficacy of patients[RR=1.27,95%CI(1.18,1.36),P<0.00001],alleviate macular edema[MD=-26.27,95%CI(-35.72,-16.83),P<0.00001],and improve the hemodynamic indexes of ophthalmic artery[MDPSV=1.10,95%CI(0.82,1.39),P<0.00001;MDEDV=0.73,95%CI(0.60,0.86),P<0.00001;MDRI=-0.02,95%CI(-0.03,-0.01),P<0.00001];there was no significant difference between experimental group and control group in hemodynamic indexes of central retinal artery(P>0.05).Conclusion Compound Xueshuantong capsule can significantly improve the clinical efficacy of NPDR patients,alleviate macular edema,improve the hemodynamic indexes of ophthalmic artery,but has no significant improvement on the hemodynamic indexes of central retinal artery.

compound Xueshuantong capsulenon-proliferative diabetic retinopathysystematic reviewMeta-analysis

周金禧、竹燕杰、罗燕

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中山大学中山眼科中心/眼科学国家重点实验室/广东省眼科视觉科学重点实验室,广东 广州,510060

复方血栓通胶囊 非增殖期糖尿病视网膜病变 系统评价 Meta分析

国家自然科学基金资助项目

81770971

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(4)
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