首页|中医药治疗糖尿病性勃起功能障碍随机对照临床试验的质量评价及思考

中医药治疗糖尿病性勃起功能障碍随机对照临床试验的质量评价及思考

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目的 对中医药治疗糖尿病性勃起功能障碍(DMED)随机对照试验(RCT)的质量进行评价,为后续此领域的研究提供方法学参考.方法 检索中国知网、万方数据库、中国生物医学文献数据库、维普数据库等建库至2023年7月收录的中医药治疗DMED的RCT,基于试验报告统一标准声明(CONSORT)-中药复方拓展版和改良Jadad量表对其进行质量评价.结果 共纳入26篇RCT,其中19.23%通过文题可识别为RCT,76.92%描述了实验设计及分配入组比例,15.38%描述了样本量的算法,19.23%描述了随机分配序列的产生方法,3.85%描述了随机方法的类型,3.85%描述了分配隐藏机制,3.85%使用了盲法,11.54%使用表格记录的基线数据,46.15%提及不良事件但均未记载严重程度和转归,15.38%标注了结局指标的估计值及精确性,38.46%分析了研究的局限.所有文献均缺乏适当的关键词、缺乏受试者流程图、缺乏完整的干预措施记录、缺乏研究方案的获取途径、缺乏注册信息及资金来源等.88.47%的文献为低质量文献.结论 国内中医药治疗DMED的RCT数量少、质量较差,在采纳和运用时应谨慎;后续研究者应参照CONSORT声明和改良Jadad量表进行试验设计、实施及报告,提高中医药治疗DMED的RCT研究质量.
Quality evaluation and thinking of randomized controlled clinical trials reports of traditional Chinese medicine in the treatment of diabetes mellitus-induced erectile dysfunction
Objective To evaluate the quality of randomized controlled trials(RCTs)of traditional Chinese medicine(TCM)in the treatment of diabetes mellitus-induced erectile dysfunction(DMED),and to provide methodological reference for subsequent research in this field.Methods RCTs for TCM treatment of DMED included in CNKI,Wanfang,CBM,and VIP from the establishment of the databases to July 2023 were searched,and quality was evaluated based on the consolidated standards of reporting trials(CONSORT)-TCM compound edition and improved Jadad scale.Results A total of 26 RCTs were included,of which 19.23%were identified as RCTs through the title,76.92%described the experimental design and allocation proportion,15.38%described the algorithm for sample size,19.23%described the method of generating randomly assigned sequences,3.85%described the types of random methods,3.85%described allocation concealment mechanisms,3.85%used blind methods,11.54%used baseline data recorded in tables,46.15%mentioned adverse events,but the severity and outcomes were not recorded,15.38%indicating the estimated values and accuracy of outcome indicators,and 38.46%analyzing the limitations of the study.All literatures lacked appropriate keywords,subject flow charts,complete intervention records,access to research protocols,registration information,and funding sources.88.47%of the literatures were of low quality.Conclusions The number of RCTs used in the treatment of DMED with TCM in China is small,and the quality is low.Therefore,caution should be exercised when adopting and applying RCTs;subsequent researchers should refer to the CONSORT statement and the Jadad scale for experimental design,implementation,and reporting to improve the quality of RCT researches on TCM treatment of DMED.

Diabetes mellitusErectile dysfunctionRandomized controlled trialsQuality evaluation

孙宁、张继伟、赵明、任凯、赵子维、于文晓

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中国中医科学院西苑医院博士后流动站,北京 100091

中国中医科学院西苑医院男科,北京 100091

北京中医药大学研究生院,北京 100026

糖尿病 勃起功能障碍 随机对照试验 质量评价

国家自然科学基金青年项目成都中医药大学附属医院代谢性疾病中医药调控四川省重点实验室开放基金项目

82205134SZKF202207

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(9)
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