首页|金匮肾气丸治疗2型糖尿病的系统评价与Meta分析

金匮肾气丸治疗2型糖尿病的系统评价与Meta分析

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目的:系统评价金匮肾气丸治疗2型糖尿病的临床疗效.方法:计算机检索中国知网、维普、中国生物医学文献、万方、Pubmed、Embase、Cochrane library数据库有关金匮肾气丸治疗2型糖尿病的随机对照试验(Randomized controlled trial,RCT).检索时间为建库至2023年7月.依据Cochrane风险评估工具对纳入文献进行质量评估.利用RevMan5.3分析结局指标.结果:最终纳入9篇文献,共895例患者.临床总有效率[OR=4.39,95%CI=(2.84,6.80),P<0.000 01]、餐后2 h血糖(postprandial blood glucose,PBG)[MD=-2.12,95%CI=(-2.74,-1.50),P<0.000 01]、空腹血糖(fasting blood glucose,FBG)[MD=-0.66,95%CI=(-0.86,-0.47),P<0.000 01]、糖化血红蛋白(glycosylate hemoglobin,HbA1c)[MD=-0.79,95%CI=(-1.26,-0.32),P=0.001]均优于对照组,差异具有统计学意义.结论:金匮肾气丸能显著提高2型糖尿病的临床有效率,降低患者PBG、FBG及HbA1c指标.未来仍需开展更多高质量、大样本的RCT研究予以验证.
A Systematic Review and Meta-analysis of Jinkui Shenqi Pill in the Treatment of Type 2 Diabetes Mellitus
Objective:To evaluate the clinical efficacy and safety of Jinkui Shenqi pills in the treatment of type 2 diabetes mellitus.Methods:CNKI,VIP,Chinese Biomedical Literature,Wanfang,Pubmed,Embase Database and Cochrane Database were searched and the randomized controlled trials on Jinjishenqi pills in the treatment of type 2 diabetes from base-building to Jul.27th,2023 were screened out.The patients in the control group were treated by conventional Western medicine treatment and the patients in the experimental group were treated by Jinkui Shenqi pill on the basis of usual treatment.Literature screening and data extraction were conducted by specific researchers.The Cochrane risk assessment tool was adopted to assess the quality of the included literature.Indicators were analyzed by using RevMan5.3.Results:Finally 9 RCTs were included,with a total of 895 patients.Meta-analysis showed that the clinical total effective rate[OR=4.39,95%CI=(2.84,6.80),P<0.000 01],postprandial 2 hours blood glucose(PBG)[MD=2.12,95%CI=(2.74,1.50),P<0.000 01],Fasting blood glucose(FBG)[MD=0.66,95%CI=[0.86,0.47],P<0.000 01)and glycosylated hemoglobin(HbAlc)[MD=0.79,95%CI=(1.26,0.32),P=0.001]were statistically different.Conclusion:The existing figures show that Jinkui Shenqi pill can significantly improve the clinical effective rate of type 2 diabetes and reduce the content of PBG,FBG and HbAlc.

Jinkui Shenqi PillType 2 diabetes mellitusMeta-analysisRandomized controlled trial

荣红国、武麟懿、李馨羽、耿天予、邢叶一祎、郭慧娟

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北京中医药大学中医学院,北京 100029

北京中医药大学国际循证中医药研究院,北京 100029

北京同仁堂科技发展股份有限公司,北京 100079

金匮肾气丸 2型糖尿病 Meta分析 随机对照试验

2024

中国药物评价
国家食品药品监督管理局信息中心

中国药物评价

影响因子:1.09
ISSN:2095-3593
年,卷(期):2024.41(6)