首页|8种口服中成药联合奥司他韦治疗儿童流感的网状Meta分析

8种口服中成药联合奥司他韦治疗儿童流感的网状Meta分析

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目的:基于网状Meta分析评价8种口服中成药联合奥司他韦治疗流感的有效性和安全性,为临床用药提供循证医学证据.方法:检索相关数据库搜集口服中成药联合奥司他韦治疗流感的随机对照试验(RCTs),根据纳入排除标准筛选文献、提取资料信息、进行质量评价,并采用Stata 16.0及RevMan5.3软件进行统计分析.结果:共纳入研究63篇,总样本量7537例.网状Meta分析结果显示,临床总有效率累积排序曲线下面积(SUCRA)累积概率排序为:小儿牛黄清心散>板蓝根颗粒>小儿豉翘清热颗粒>蓝芩口服液>连花清瘟>蒲地蓝消炎口服液>抗感颗粒>四季抗病毒合剂;发热缓解时间SUCRA累积概率排序为:板蓝根颗粒>蒲地蓝消炎口服液>小儿豉翘清热颗粒>小儿牛黄清心散>四季抗病毒合剂>蓝芩口服液>连花清瘟>抗感颗粒;咳嗽缓解时间SU-CRA累积概率排序为:四季抗病毒合剂>蓝芩口服液>板蓝根颗粒>小儿豉翘清热颗粒>连花清瘟>小儿牛黄清心散>蒲地蓝消炎口服液;安全性事件SUCRA累积概率排序为:小儿豉翘清热颗粒>小儿牛黄清心散>蒲地蓝消炎口服液>蓝芩口服液>四季抗病毒合剂>连花清瘟.结论:8种口服中成药联合应用奥司他韦均能有效治疗儿童流感,各有特点及侧重.
Treatment of Influenza in Children with 8 Oral Chinese Patent Medicines Combined with Oseltamivir:A Network Meta-Analysis
Objective:To evaluate the efficacy and safety of 8 oral Chinese patent medicines combined with oseltamivir in treating influenza with a network meta-analysis,so as to provide evidence-based medical evidence for clinical medication.Methods:The randomized controlled trials (RCTs) of oral Chinese patent medicines combined with oseltamivir for treating influenza were retrieved from related databases.According to the inclusion and exclusion criteria,we screened the qualified RCTs and extracted information for quality evaluation.Stata 16.0 and Rev-Man5.3 were employed to carry out statistical analysis.Results:A total of 63 RCTs were included,involving 7537 cases.The network meta-analysis yielded the following trends based on the surface under the cumulative ranking curve (SUCRA).In terms of total response rate,the trend was Xiao'er Niuhuang Qingxin (小儿牛黄清心) Powder>Banlangen (板蓝根) Granules>Xiao'er Chiqiao Qingre (小儿豉翘清热) Granules>Lanqin (蓝芩) Oral Liquid>Lianhua Qingwen (连花清瘟)>Pudilan Xiaoyan (蒲地蓝消炎) Oral Liquid>Kanggan (抗感) Granules>Siji Kangbingdu (四季抗病毒) Mixture.In terms of the time to abatement of fever,the trend was Banlangen (板蓝根) Granules>Pudilan Xiaoyan (蒲地蓝消炎) Oral Liquid>Xiao'er Chiqiao Qingre (小儿豉翘清热) Granules>Xiao'er Niuhuang Qingxin (小儿牛黄清心) Powder>Siji Kangbingdu (四季抗病毒) Mixture>Lanqin (蓝芩) Oral Liquid>Lianhua Qingwen (连花清瘟)>Kanggan (抗感) Granules.In terms of the time to cough relief,the trend was Siji Kangbingdu (四季抗病毒) Mixture>Lanqin (蓝芩) O-ral Liquid>Banlangen (板蓝根) Granules>Xiao'er Chiqiao Qingre (小儿豉翘清热) Granules>Lianhua Qingwen (连花清瘟)>Xiao' er Niuhuang Qingxin (小儿牛黄清心) Powder>Pudilan Xiaoyan (蒲地蓝消炎) Oral Liquid.In terms of adverse events,the trend was Xi-ao'er Chiqiao Qingre (小儿豉翘清热) Granules>Xiao'er Niuhuang Qingxin (小儿牛黄清心) Powder>Pudilan Xiaoyan (蒲地蓝消炎) Oral Liquid>Lanqin (蓝芩) Oral Liquid>Siji Kangbingdu (四季抗病毒) Mixture>Lianhua Qingwen (连花清瘟).Conclusion:The 8 Chinese patent medicines combined with oseltamivir can effectively treat influenza in children,with unique characteristics and emphasis.

Oral Chinese patent medicineInfluenzaChildrenNetwork meta-analysis

赵晓娟、王永静、黄光亮、崔文彦、赵永红、李丹、曾思锐、刘秀菊

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河北医科大学第二医院,石家庄 050000

口服中成药 流行性感冒 儿童 网状Meta分析

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(9)
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