首页|治疗新型冠状病毒感染中成药的临床证据分析

治疗新型冠状病毒感染中成药的临床证据分析

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目的:评价18种中成药在预防和治疗新型冠状病毒感染(COVID-19)方面的疗效和安全性,为临床医生提供科学依据和指导意见。方法:检索Pubmed、Embase、Cochrane Library、中国期刊全文数据库、万方医学数据库和中文科技期刊数据库(维普)等6个中英文文献数据库,收集了截至2023年3月16日所有中成药治疗COVID-19相关的临床研究。对比分析了18种中成药的基本特征、研究样本量、干预措施及主要结局,采用GRADE分级方法对其证据质量进行了评估。结果:清肺排毒汤、连花清瘟胶囊(颗粒)、血必净注射液、疏风解毒胶囊等18种中成药均能有效缓解COVID-19患者的发热、咳嗽、乏力等症状,缩短患者的住院时间和核酸转阴时间,提高患者的治愈率和康复率,降低患者的转重率和死亡率,改善患者的肺部影像学表现,降低患者的炎症水平,改善患者的血液生化指标和免疫功能指标。结论:18种中成药对于COVID-19具有明显的治疗效果和良好的安全性。
Analysis of clinical evidence for traditional Chinese medicines to treat corona virus disease 2019
Objective:To evaluate the efficacy and safety of 18 traditional Chinese medicines (TCMs) in the prevention and treatment of corona virus disease 2019 (COVID-19), in order to provide scientific evidence and guidance for clinical practitioners.Methods:All the clinical studies related to TCM treatment of COVID-19 published as of March 16, 2023 were retrieved in six Chinese and English literature databases: PubMed, Embase, Cochrane Library, CNKI, Wanfang Data, and VIP Database. The basic characteristics, sample size, intervention measures, and main outcomes of studies on 18 TCMs were compared and analyzed, and the GRADE approach was used to assess the quality of evidence.Results:Qingfei Paidu decoction, Lianhua Qingwen capsules (granules), Xuebijing injection, Shufeng Jiedu capsules, and other TCMs could effectively relieve the fever, cough, fatigue, and other symptoms of COVID-19 patients, shorten the hospitalization time and time to negative conversion of nucleic acid test result, increase the cure rate and recovery rate, reduce the rates of deterioration and mortality, improve pulmonary imaging manifestations, reduce inflammation level, and improve blood biochemical indicators and immune function indicators of the patients.Conclusion:The 18 TCMs identified have obvious therapeutic effects and good safety for COVID-19.

倪世豪、董晓明、刘浩辉、何星灵、刘东华、李姿儒、李思静、姜艳辉、黄婕、张小娇、鲁路、杨忠奇

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510407 广州,广州中医药大学 第一附属医院

中成药 新型冠状病毒感染 临床证据

广东省药品监督管理局科技创新项目国家中医药管理局新型冠状病毒感染中医药应急专项

2022ZDB062023ZYLCYJ02-17

2023

中华临床医师杂志(电子版)
中华医学会

中华临床医师杂志(电子版)

CSTPCD
影响因子:0.99
ISSN:1674-0785
年,卷(期):2023.17(12)
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