首页|麒麟丸联合常规西药治疗多囊卵巢综合征Meta分析

麒麟丸联合常规西药治疗多囊卵巢综合征Meta分析

扫码查看
目的 系统评价麒麟丸联合常规西药治疗多囊卵巢综合征(PCOS)的临床疗效.方法 计算机检索中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library建库至2023年2月15日麒麟丸联合常规西药治疗PCOS的临床随机对照试验(RCT),采用Cochrane偏倚风险评估工具进行质量评估,采用RevMan5.4软件进行Meta分析.结果 纳入RCT 18项,涉及患者1 922例.Meta分析结果显示,麒麟丸联合常规西药治疗PCOS在总有效率[RR=1.19,95%CI(1.13,1.25),P<0.000 01]、提高排卵率[RR=1.38,95%CI(1.31,1.46),P<0.000 01]、提高妊娠率[RR=1.81,95%CI(1.59,2.06),P<0.000 01]、增加子宫内膜厚度[MD=2.00,95%CI(1.58,2.42),P<0.000 01]、改善血清激素(血清促卵泡激素、黄体生成素、雄激素、雌二醇)水平(P<0.05)方面均显著优于单纯西药治疗,差异有统计学意义.结论 基于目前证据,麒麟丸联合常规西药治疗PCOS疗效显著,确切结论仍需大样本、高质量RCT研究验证.
Meta-analysis of Qilin Pills Combined with Western Medicine in the Treatment of Polycystic Ovary Syndrome
Objective To systematically evaluate the clinical efficacy of Qilin Pills combined with Western medicine in the treatment of polycystic ovary syndrome(PCOS).Methods Randomized controlled trials(RCTs)of Qilin Pills combined with Western medicine in the treatment of PCOS were retrieved from CNKI,VIP,Wanfang Data,CBM,PubMed,Embase,Cochrane Library from the establishment of databases to February 15th,2023.The quality of the literature was evaluated by Cochrane bias risk assessment tool,and the Meta-analysis was performed by RevMan 5.4 software.Results A total of 18 RCTs met the inclusion criteria,includin g 1 922 patients.The results showed that the experimental group was higher than the control group in total effective rate[RR=1.19,95%CI(1.13,1.25),P<0.000 01],the ovulation rate[RR=1.38,95%CI(1.31,1.46),P<0.000 01],the pre gnancy rate[RR=1.81,95%CI(1.59,2.06),P<0.000 01],the endometrial thickness[MD=2.00,95%CI(1.58,2.42),P<0.000 01],and sex hormone levels(serum follicle stimulating hormone,luteinizing hormone,androgen,estradiol)(P<0.05),with statistical significance.Conclusion Qilin Pills combined with Western medicine has a significant clinical effect on PCOS.Based on current evidence,the combination of Qilin Pills and conventional Western medicine has a significant therapeutic effect on PCOS.The exact conclusion still needs to be verified through large-scale,high-quality RCTs.

Qilin Pillspolycystic ovary syndromeRCTsMeta-analysisefficacy evaluation

张宝方、吴蝶、张洋洋、陈赟

展开 >

南京中医药大学第一临床医学院,江苏 南京 210023

南京中医药大学附属医院,江苏 南京 210029

麒麟丸 多囊卵巢综合征 随机对照试验 Meta分析 疗效评价

全国老中医药专家学术经验继承工作项目(第七批)(2022)第三周期江苏省妇幼健康青年人才项目

FRC202150

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(3)
  • 27