首页|蓝芩口服液联合抗菌药物治疗急性扁桃体炎有效性与安全性的系统评价与Meta分析

蓝芩口服液联合抗菌药物治疗急性扁桃体炎有效性与安全性的系统评价与Meta分析

Lanqin oral liquid combined with antibacterial drugs for the treatment of acute tonsillitis:a systematic review and Meta-analysis

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目的 系统评价蓝芩口服液联合抗菌药物治疗急性扁桃体炎的有效性与安全性.方法 检索Cochrane Library、PubMed、EMbase、SinoMed、中国知网、万方数据、维普网,收集蓝芩口服液治疗急性扁桃体炎的随机对照试验(RCTs),检索时限从建库至 2023 年1月1日,采用RevMan 5.3 软件进行数据分析.结果 5 项随机对照试验(RCTs),共计640 例急性扁桃体炎患者.Meta分析结果显示,蓝芩口服液联合抗生素治疗急性扁桃体炎,在退热时间(MD=-20.21,95%CI[-25.18,-15.24],P<0.001),咽痛缓解时间(MD=-22.62,95%CI[-30.48,-14.75],P<0.001),有效率(RR=3.07,95%CI[1.92,4.89],P<0.001)方面优于单用抗菌药物,差异具有统计学意义.结论 临床试验质量不高,以上结论仍需更多高质量临床试验进一步证明,且需要关注不良反应的问题.
Objective To systematically evaluate the efficacy and safety of Lanqin oral liquid combined with antibiotics in the treatment of acute tonsillitis.Methods Literature about randomized controlled trials(RCTs)of Lanqin oral liquid in the treatment of acute tonsillitis that was published between the inception and January 1,2023 was retrieved from Cochrane Library,EMbase,PubMed,SinoMed,CNKI,Wanfang and Weipu.Two researchers independently conducted literature screening and data retrieval according to the classification criteria.The Cochrane manual was used for quality evaluation while RevMan 5.3 software was used for data analysis.Results 5 RCTs were included involving a total of 640 patients.The results of meta-analysis showed that the treatment of acute tonsillitis with oral liquid combined with antibiotics was far more effective than antimicrobials alone in terms of shortened time of sore throat relief(MD=-20.21,95%CI[-25.18,-15.24],P<0.001)(MD=-22.62,95%CI[-30.48,-14.75],P<0.001)and response rate(RR=3.07,95%CI[1.92,4.89],P<0.001).Conclusion However,due to the low quality of clinical trials,the above findings need to be confirmed by more high-quality clinical trials,and related adverse reactions deserve attention.

Lanqin oral liquidtonsillitisantibioticssystematic reviewMeta-analysiseffectivenesssafetyabatement of feversore throat

刘倩、李博、疏欣扬

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首都医科大学附属北京中医医院北京市中医药研究所,北京中医药循证医学中心,北京 100010

中日友好医院国家呼吸医学中心中医肺病一部,北京 100029

蓝芩口服液 扁桃体炎 抗菌药 系统评价 Meta分析 有效性 安全性 退热 咽痛

国家自然科学基金资助项目中日友好医院横向课题

817741462021-HX-52

2024

中国药物警戒
国家药品监督管理局药品评价中心(国家药品不良反应监测中心)

中国药物警戒

CSTPCD
影响因子:1.105
ISSN:1672-8629
年,卷(期):2024.21(8)