首页|Modified Xiaoyao powder for postpartum depression:A systematic review and meta-analysis

Modified Xiaoyao powder for postpartum depression:A systematic review and meta-analysis

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Objective:To evaluate the effectiveness and safety of modified Xiaoyao powder for postpartum depression(PPD)by conducting a systematic review of randomized controlled trials(RCTs).Methods:The Chinese National Knowledge Infrastructure Databases(CNKI),the Chinese Scientific Journals Database(VIP),Wanfang,Google Scholar,the SinoMed,Embase,Cochrane Library,and PubMed databases were searched from their inception to April 25,2023.The Cochrane Risk of Bias tool was used to assess the quality of the trials.We applied the risk ratio to present dichotomous data and the mean difference to present continuous data.Data with similar characteristics were pooled for meta-analysis and heterogeneity was assessed using I2.Results:This review included 35 trials involving 2848 participants.The quality of the included studies was low(unclear randomization processes and insufficient reporting of blinding).Participants treated with modified Xiaoyao powder plus Western medicine showed lower Hamilton Depression Scale(HAMD)depression score than those who used Western medicine alone(mean difference=-2.15;95%confidence interval:-2.52 to 1.78;P<.00001),and higher effective rate(relative risk=1.19;95%confidence interval:1.15 to 1.24;P<.00001),When comparing modified Xiaoyao alone with Western medicine,the HAMD depression score remained low,however,the efficacy rate was higher in the modified Xiaoyao group.Regarding adverse events,the modified Xiaoyao group reported weight gain,nausea,and diarrhea,but no severe adverse events were reported.Conclusion:Modified Xiaoyao may help relieve depression in PPD when used alone or in combination with Western medicine,with minor side effects.Therefore,future high-quality,large-sample size RCTs are warranted.

Postpartum depressionModified XiaoyaoChinese medicineSystematic reviewMeta-analysis

Mengyuan Hu、Xiaowen Zhang、Xuya Zhang、Dan Cheng、Yali Zhang、Xinyu Zhang、Lingling Li、Xinjie Li、Xue Li、Yi Lu

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School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China

Centre for Evidence Based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China

School of Chinese Medicine,The University of Hong Kong,Hong Kong,China

State Administration of Traditional Chinese Medicine High-level Key Discipline Construction Project of Traditional Chinese M

zyyzdxk-2023256

2024

中医科学杂志(英文)
北京中医药大学,清华大学出版社有限公司

中医科学杂志(英文)

ISSN:2095-7548
年,卷(期):2024.11(1)
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