胆舒胶囊治疗慢性胆囊炎疗效和安全性的Meta分析 点击下载
论文标题: 胆舒胶囊治疗慢性胆囊炎疗效和安全性的Meta分析
英文标题:
中文摘要: 目的:系统评价胆舒胶囊治疗慢性胆囊炎的疗效和安全性,以为临床提供循证参考。方法:计算机检索PubMed、 EMBase、 Cochrane图书馆、 Web of science、中国期刊全文数据库、中国生物医学文献数据库、 中文科技期刊数据库和万方数据库,收集胆舒胶囊对比其他药物治疗慢性胆囊炎的随机对照试验(RCT),对符合纳入标准的研究进行资料提取,并采用Cochrane系统评价员手册5.1.0进行质量评价,采用Rev Man 5.2统计软件进行Meta分析。 结果:共纳入12项RCT ,合计1 140例患者。Meta分析结果显示,胆舒胶囊组患者治疗慢性胆囊炎的治愈率高于对照组,两组比较差异有统计学意义[RR=1.62,95%CI(1.33,1.96), P<0.001];胆舒胶囊组患者的总有效率高于熊去氧胆酸片组[RR=1.37,95%CI(1.14,1.64),P<0.001]、消炎利胆片组[RR=1.40, 95%CI(1.24,1.58),P<0.001]、金胆片组[RR=1.13,95%CI(1.04,1.23),P=0.005]和胆宁片组[RR=1.16,95%CI(1.05,1.28),P=0.004],各组比较差异均有统计学意义。胆舒胶囊不良反应发生率低于对照组,两组比较差异有统计学意义[RR=0.20,95%CI(0.12,0.34),P<0.001]。结论:胆舒胶囊治疗慢性胆囊炎的疗效和安全性均较好。
英文摘要: OBJECTIVE:To systematically review the efficacy and safety of Danshu capsule in the treatment of chronic cholecystitis, and provide evidence-based reference for clinical treatment. METHODS:Retrieved from PubMed, EMBase, Cochrane Library,Web of science,CJFD,CBM,VIP Database and Wanfang Database,randomized controlled trials (RCT) about Danshu capsule versus other medicines in the treatment of chronic cholecystitis were collected. Meta-analysis was performed by using Rev Man 5.2 software after data extracting and quality evaluating by Cochrane 5.1.0. RESULTS:Totally 12 RCTs were enrolled, involving 1 140 patients. Results of Meta-analysis showed the cure rate of Danshu capsule in the treatment of chronic cholecystitis was higher than control group, there was statistically significant difference between 2 groups [RR=1.62,95%CI(1.33,1.96),P<0.001]; total effective rate in Danshu capsule group was higher than Ursodeoxycholic acid tablet group[RR=1.37,95%CI(1.14,1.64),P<0.001],Xiaoyan lidan tablet group [RR=1.40,95%CI(1.24,1.58),P<0.001], Jindan tablet group[RR=1.13,95%CI(1.04,1.23),P=0.005] and Danning tablet group[RR=1.16,95%CI(1.05,1.28),P=0.004], there were statistically significant differences among groups. Incidence of adverse reactions of Danshu capsule was lower than control group, there was statistically significant difference between 2 groups [RR=0.20,95%CI(0.12,0.34),P<0.001]. CONCLUSIONS: Both efficacy and safety of Danshu capsule are good in the treatment of chronic cholecystitis.
期刊: 2016年第27卷第12期
作者: 袁雁苓,张李华,刘晓蓉,饶凡
英文作者: YUAN Yanling,ZHANG Lihua,LIU Xiaorong,RAO Fan
关键字: 胆舒胶囊;慢性胆囊炎;Meta分析;疗效;安全性
KEYWORDS: Danshu capsule; Chronic cholecystitis; Meta-analysis; Efficacy; Safety
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