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中医药治疗胆囊切除术后综合征的Meta分析
引用本文:张强,武朝尉,魏洪鑫,徐慧慧,吕文良. 中医药治疗胆囊切除术后综合征的Meta分析[J]. 中西医结合肝病杂志, 2020, 0(2): 132-135
作者姓名:张强  武朝尉  魏洪鑫  徐慧慧  吕文良
作者单位:中国中医科学院广安门医院肝病科;北京市经济信息中心;首都医科大学公共卫生学院;中国中医科学院医学实验中心
基金项目:国家自然基金面上项目(No.81774282)。
摘    要:目的:以系统评价的方式分析中医药治疗胆囊切除术后综合征(PCS)的临床疗效。方法:系统地回顾了28篇符合纳入标准的随机对照试验文献并进行Meta分析,时间跨度为2004至2018年。OR值以及95%置信区间(CI)由每篇纳入的文献的原始数据中获得,经过计算发现各研究之间存在低异质性。结果:采用中医药的治疗组临床症状缓解率明显高于对照组(OR=5.47,95%CI 4.37~6.85,P<0.01)。结论:中药能有效改善PCS相关症状,相比于单纯西药对症治疗具有一定的优势。

关 键 词:胆囊切除术综合征  中医药治疗  META分析

Systematic review and meta-analysis of TCM in the treatment of syndrome after cholecystectomy
Affiliation:(Guang anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing,100032,China;不详)
Abstract:Objective:To evaluate the clinical efficacy of TCM in the treatment of PCS in a systematic review.Methods:We reviewed 28 randomized controlled trial literatures that met the inclusion criteria from 2004 to 2018.The OR value and 95%confidence interval were obtained from the original data in each included literature,and the results were calculated between studies.Results:There is low heterogeneity.Meta results showed that the clinical symptom remission rate of the treatment group with traditional Chinese medicine was significantly higher than that of the control group(OR=5.47,95%CI:4.37~6.85,P<0.00001).Conclusion:traditional Chinese medicine can effectively improve pcs-related symptoms,which has certain advantages over western medicine for symptomatic treatment.
Keywords:post cholecyestectomy syndrome  traditional Chinese medicine  systematic review  meta-analysis
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