首页|中成药治疗慢性心力衰竭临床结局的Meta分析

中成药治疗慢性心力衰竭临床结局的Meta分析

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目的:系统评价中成药相关治疗方案对比常规西药或安慰剂治疗对慢性心力衰竭(CHF)患者整体临床疗效及相关结局指标的影响.方法:检索8个数据库2014-2024年间中成药相关治疗方案对比常规西药或安慰剂治疗CHF患者的随机对照试验并采用Stata16.0软件进行Meta分析.结果:最终纳入35篇文献,结果显示,与常规西药或安慰剂治疗相比,采用中成药相关治疗方案可有效改善 CHF 患者整体临床疗效(RR=1.22;95%CI=1.18,1.26;P<0.0001)、LVEF(SMD=1.03;95%CI=0.82,1.25;P<0.0001)、LVESD(SMD=-0.70;95%CI=-0.86,-0.53;P<0.0001)、LVEDD(SMD=-0.77;95%CI=-0.97,-0.58;P<0.0001)、NT-proBNP(SMD=-0.57;95%CI=-0.69,-0.45;P<0.0001)以及不良反应发生率(RR=0.57;95%CI=0.35,0.94;P=0.028<0.05).结论:中成药相关治疗方案可有效改善CHF患者整体临床疗效、心功能指标与不良反应发生率.
Meta-analysis of Clinical Outcomes of Traditional Chinese Medicines in Treating Chronic Heart Failure
Objective:To systematically evaluate the impact of Chinese patent medicine related treatment regimens compared with conven-tional western medicine or placebo treatment on the overall clinical efficacy and related outcome indicators in patients with chronic heart fail-ure(CHF).Methods:8 databases were searched for randomized controlled trials of Chinese patent medicine related treatment options com-pared with conventional western medicine or placebo in the treatment of CHF patients from 2014 to 2024,and Meta-analysis was performed using Stata16.0 software.Results:Finally,35 articles were included.The results showed that compared with conventional western medicine or placebo treatment,treatment options related to proprietary Chinese medicines can effectively improve the overall clinical efficacy of CHF pa-tients.(RR=1.22;95%CI=1.18,1.26;P<0.0001)、LVEF(SMD=1.03;95%C]=0.82,1.25;P<0.0001)、LVESD(SMD=-0.70;95%CI=-0.86,-0.53;P<0.0001)、LVEDD(SMD=-0.77;95%CI=-0.97,-0.58;P<0.0001),NT-proBNP(SMD=-0.57;95%CI=-0.69,-0.45;P<0.0001)and the in-cidence of adverse reactions(RR=0.57;95%CI=0.35,0.94;P=0.028<0.05).Conclusion:Chinese patent medicine related treatment regi-mens can effectively improve the overall clinical efficacy,cardiac function indicators and the incidence of adverse reactions in patients with CHF.

Chronic heart failureChinese patent medicineMeta analysis

徐昊杨、杜建军、刘晓旭、马奎影、乌日罕、赵明

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内蒙古民族大学 内蒙古 通辽 028000

通辽市人民医院 内蒙古 通辽 028000

内蒙古自治区广播电视局 内蒙古 呼和浩特 010050

内蒙古民族大学附属医院 内蒙古 通辽 028000

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慢性心力衰竭 中成药 Meta分析

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(11)