首页|中医药治疗消化系统肿瘤术后胃瘫临床研究的文献分析

中医药治疗消化系统肿瘤术后胃瘫临床研究的文献分析

扫码查看
[目的]分析近10年中医药联合常规疗法治疗消化系统肿瘤术后胃瘫的临床研究特征,并评价其方法学质量.[方法]检索中国知网、万方数据库、维普中文期刊服务平台、中国生物医学文献服务系统、Pubmed、Webof Science,收集2013年1月-2022年12月中医药联合常规疗法治疗消化系统肿瘤术后胃瘫的临床研究文献.总结并分析纳入文献的研究类型、诊断标准、干预和对照措施、结局指标等.运用Cochrane偏倚风险评估工具等对纳入文献进行方法学质量评价.[结果]最终纳入31篇文献,其中30篇为随机对照试验,1篇为回顾性研究.纳入的随机对照试验(RCT)研究方法学质量整体偏低,27项(90.00%)研究报告了随机化方案,其中1项评价为高风险,仅3项(10.00%)研究报告了分配隐藏方案,29项(96.67%)研究未报告受试者、研究者及结局评价者施盲情况.纳入文献研究对象诊断标准不统一.涉及33种干预措施,以中医外治法居多(66.67%).临床疗效评价指标不规范,仅2篇文献区分了主、次要结局指标.[结论]建议今后研究者提前注册研究方案,完整透明地报告研究方案,严格按照国际标准设计和实施临床方案.期待未来能够出台相关指南或专家共识统一术后胃瘫综合征诊治标准,规范结局指标判定标准,开展中医药相关核心指标集的研究.
Literature analysis of clinical study in traditional Chinese Medicine treatment of postsurgical gastroparesis syndrome on digestive system tumors
[Objective]To evaluate the methodological quality of clinical research on treatment of postsurgical gastroparesis syndrome of digestive system tumors combined with traditional Chinese Medicine(TCM)in recent 10 years,and to analyze the clinical trials characteristics.[Methods]CNKI,Wanfang database,VIP,SinoMed,Pubmed,Web of Science were searched to collect the clinical research literature from January 2013 to December 2022.The methodological quality of the included literature was evaluated by tools as the Cochrane risk of bias assessment tool.The types of studies,diagnostic criteria,interventions and control measures,and outcome measures in the included literature were analyzed.[Results]Totally 31 articles were included,30 were randomized controlled trails and one was retrospective study.The methodological quality of the included Randomized controlled trials(RCTs)was generally low,such as lack of the specific description of randomization protocol,allocation concealment,and blind methods,presence of selective outcome reporting.The diagnostic criteria are not unified,the intervention measures were mainly TCM external treatment,and the clinical efficacy evaluation indicators are not standardized.[Conclusion]Rigorous clinical protocol design should be performed in future studies.It is recommended that researchers should register the study protocol in advance,report the study protocol completely and transparently.The design and implement of the clinical protocol should accordance with international standards.It is expected that relevant guidelines or expert consensus will be issued to unify PGS diagnosis and treatment standards,standardize the judgment criteria of outcome indicators,and carry out research on relevant TCM core indicator set.

postoperative gastroparesisdigestive system tumortraditional Chinese medicineclinical trialliterature analysis

王郅宜、李泉旺、朱泠霏、李博、周琴

展开 >

北京中医药大学,北京 100029

北京中医药大学东方医院肿瘤科,北京 100078

首都医科大学附属北京中医医院,北京市中医药研究所,北京 100010

术后胃瘫 消化系统肿瘤 中医药 临床试验 文献研究

国家自然科学基金青年项目

82204855

2024

天津中医药大学学报
天津中医药大学

天津中医药大学学报

CSTPCD
影响因子:1.324
ISSN:1673-9043
年,卷(期):2024.43(6)