首页|银翘散治疗急性上呼吸道感染有效性的Meta分析

银翘散治疗急性上呼吸道感染有效性的Meta分析

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目的 系统评价银翘散治疗急性上呼吸道感染有效性,为其临床应用提供依据.方法 计算机检索中国知网学术期刊(CNKI)、万方数据库服务平台(WanFangData)、维普科技期刊全文数据库(VIP)、中文生物医学文献数据库(CBM)、Pubmed 数据库、Web of Science 数据库、The Cochrane Library 及 Clinical Trials.gov 数据库关于银翘散治疗急性上呼吸道感染的随机对照试验,对所纳入研究进行质量筛选、数据提取,并采用Rev-Man5.3软件进行Meta分析.结果 共纳入有效研究17项.Meta分析结果显示:银翘散试验组的临床总有效率优于对照组[相对危险度(RR)=1.19,95%置信区间(CI)(1.15,1.22),P<0.00001];退热时间短于对照组[标准化均数差(SMD)=-0.36,95%CI(-0.71,-0.01),P=0.04];治愈疗程短于对照组[SMD=-2.02,95%CI(-3.24,-0.80),P=0.001];体温恢复正常时间短于对照组[SMD=-2.67,95%CI(-4.06,-1.28),P=0.0002];痊愈率优于对照组[RR=1.54,95%CI(1.35,1.75),P<0.00001];复发率低于对照组[RR=0.06,95%CI(0.01,0.30),P=0.0008];咽喉疼痛消失时间短于[SMD=-3.93,95%CI(-7.70,-0.17),P=0.04];2组差异均具有统计学意义.结论 基于目前临床证据,银翘散治疗急性上呼吸道感染具有较好的疗效和安全性;但是由于纳入研究样本较少,质量偏低,可能会影响此结论的真实性和可靠性,因此还需要更多大样本、高质量的随机对照试验来加以证实.
Meta-analysis of the Effectiveness of Yinqiao Powder in the Treatment of Acute Upper Respiratory Tract Infection
Objective:To systematically evaluate the effectiveness of Yinqiao Powder in the treatment of acute up-per respiratory tract infection and to provide evidence for its clinical application.Methods:The randomized controlled trials of Yinqiao Powder in the treatment of acute upper respiratory tract infection were searched on CNKI,WanFangDa-ta,VIP,CBM,Pubmed,Web of Science,The Cochrane Library and Clinical Trials.gov databases by computer and the quality screening and data extraction were performed for the included studies,and the meta-analysis was performed by using RevMan5.3 software.Results:A total of 17 valid studies were included.The results of the meta-analysis showed that the total clinical response rate of Yinqiao Powder experimental group was better than that of control group[RR=1.19,95%CI(1.15,1.22),P<0.00001].The duration of fever reduction was shorter than that of control group[SMD=-0.36,95%CI(-0.71,-0.01),P=0.04].The duration of treatment was shorter than that of con-trol group[SMD=-2.02,95%CI(-3.24,-0.80),P=0.001].The time for body temperature to return to normal was shorter than that of control group[SMD=-2.67,95%CI(-4.06,-1.28),P=0.0002].The recovery rate was better than that of control group[RR=1.54,95%CI(1.35,1.75),P<0.00001].The recurrence rate was lower than that of control group[RR=0.06,95%CI(0.01,0.30),P=0.0008].The disappearance time of throat pain was shorter than that of control group[SMD=-3.93,95%CI(-7.70,-0.17),P=0.04].The difference between the two groups was statistically significant.Conclusion:Based on current clinical evidence,Yinqiao Powder has a good effect and safety in the treatment of acute upper respiratory tract infection.However,due to the small number of includ-ed samples and low quality,the authenticity and reliability of this conclusion may be affected and more large samples and high-quality randomized controlled trials are needed to confirm it.

Yinqiao PowderAcute Upper Respiratory Tract InfectionMeta-AnalysisEffectiveness

赵显芳、朱紫陌、崔白梅、李秀芳

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云南中医药大学,云南昆明 650500

银翘散 急性上呼吸道感染 Meta分析 有效性

国家自然科学基金云南省科技厅-中医联合专项重大项目

81860724202001AZ070001-001

2024

云南中医中药杂志
云南省中医中药研究院,云南省中医药学会

云南中医中药杂志

影响因子:0.598
ISSN:1007-2349
年,卷(期):2024.45(1)
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