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含栀子治疗抑郁方剂的疗效及安全性Meta分析

孔令婕 马亚洁 陶伟伟

生物加工过程2024,Vol.22Issue(1):63-74,12.
生物加工过程2024,Vol.22Issue(1):63-74,12.DOI:10.3969/j.issn.1672-3678.2024.01.009

含栀子治疗抑郁方剂的疗效及安全性Meta分析

Meta-analysis on the efficacy and safety of antidepressant prescriptions containing Gardeniae Fructus

孔令婕 1马亚洁 2陶伟伟2

作者信息

  • 1. 正大天晴药业集团股份有限公司,江苏南京 210023
  • 2. 南京中医药大学 中西医结合学院,江苏南京 210023
  • 折叠

摘要

Abstract

The clinical trial data of prescriptions containing Gardeniae Fructus were collected from Chinese literature regarding the treatment of depression.Upon the exclusion of duplicate documents from electronic database,we utilized Revman 5.3 software to evaluate the quality of research papers,then extracted the corresponding data for Meta-analysis,aiming to assess the clinical safety and efficacy of antidepressant prescriptions containing Gardeniae Fructus.Three keywords including"Gardeniae Fructus","Chinese medicine",and"depression"appeared in 38 articles from the total of 3 960 publications,and the Meta-analysis demonstrated:a)the prescriptions,either containing Gardeniae Fructus alone[RR=1.15,95%CI(1.10,1.21);P<0.000 01]or with combination with antidepressants[RR=1.23,95%CI(1.18,1.28);P<0.000 01]showed higher effective rate than antidepressants with regard to clinical efficiency.b)In terms of HAMD scaling rate,the prescriptions,either containing Gardeniae Fructus alone[MD=-1.79,95%CI(-2.84,-0.74);P=0.000 8]or in combination with antidepressants[MD=-5.14,95%CI(-6.57,-3.70);P<0.000 01]could reduce HAMD more significantly than antidepressants alone.c)Regarding adverse effects,the prescriptions,either containing Gardeniae Fructus alone[RR=0.12,95%CI(0.07,0.23);P<0.000 01]or with the combination with antidepressants[RR=0.47,95%CI(0.32,0.69);P=0.000 1],proved to be safer than antidepressants.In conclusion,the prescriptions containing Gardeniae Fructus would offer a better option for patients with depressive disorder.

关键词

栀子/抑郁症/Meta分析/系统评价/随机对照试验

Key words

Gardeniae Fructus/depression/Meta-analysis/systematic review/randomized controlled trial

分类

医药卫生

引用本文复制引用

孔令婕,马亚洁,陶伟伟..含栀子治疗抑郁方剂的疗效及安全性Meta分析[J].生物加工过程,2024,22(1):63-74,12.

生物加工过程

OACSTPCD

1672-3678

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