数字中医药（英文）2024，Vol.7Issue(1)：13-28,16.DOI:10.1016/j.dcmed.2024.04.003
经皮冠状动脉介入治疗(PCI)患者的中医证型分布及预后危险因素:系统评价和meta分析
Distribution of traditional Chinese medicine pattern types and prognostic risk factors in patients undergoing percutaneous coronary intervention(PCI):a systematic review and meta-analysis
摘要
Abstract
Objective To clarify the distribution of traditional Chinese medicine(TCM)pattern and its associated risk factors after percutaneous coronary intervention(PCI),and evaluate the re-porting quality of existing studies to guide future research standardization. Methods English databases including PubMed,Cochrane Library,and Web of Science,as well as Chinese databases including China National Knowledge Infrastructure(CNKI),China Scientific Journal Database(VIP),and Wanfang Database were searched to retrieve papers about PCI.The time span for the paper retrieval was set from the foundation of the databases to October 1,2023.Statistical analyses were performed using Stata 12 and Python(V 3.9).The Strengthening the Reporting of Observational Studies in Epidemiology(STROBE)statement was used to assess the reporting quality of included studies. Results Overall,1 356 articles were selected,and 40 cross-sectional studies were included with 10 270 participants.The most common TCM patterns before,one to two weeks after,and six months to one year after PCI was Qi stagnation and blood stasis(n=261,36.45%),inter-twined phlegm and blood stasis(n=109,27.18%),and Qi deficiency and blood stasis(n=645,37.03%),respectively.Smoking[odds ratio(OR)=1.15,95%confidence interval(CI)(0.83-1.47),I2=24.7%,P=0.257],pattern of congealing cold and Qi stagnation[OR=4.62,95%CI(1.37-7.86),I2=61.6%,P=0.074],and low-density lipoprotein(LDL)[OR=1.38,95%CI(0.92-1.85),I2=12.2%,P=0.286]were risk factors for restenosis.Hypertension[OR=7.26,95%CI(3.54-14.88),I2=91.6%,P=0.001],and overweight[i.e.,body mass index(BMI)>23][OR=1.20,95%CI(1.07-1.35),I2=85.3%,P=0.009]were significant risk factors of concomi-tant anxiety. Conclusion This systematic review and meta-analysis revealed that patients with different TCM pattern types have distinct characteristics and risk factors after PCI.More high-quality studies are warranted to provide supportive evidence for future research and clinical practice.关键词
冠心病/中医/经皮冠状动脉介入治疗/风险因素/系统评价/meta分析Key words
Coronary heart disease(CHD)/Traditional Chinese medicine(TCM)/Percutaneous coronary intervention(PCI)/Risk factor/Systematic review/Meta-analysis引用本文复制引用
李洁韵,洪磊鑫,林洁琪,夏雨墨,肖欣昂,许朝霞..经皮冠状动脉介入治疗(PCI)患者的中医证型分布及预后危险因素:系统评价和meta分析[J].数字中医药（英文）,2024,7(1):13-28,16.基金项目
National Natural Science Foundation of China(82074333 and 82374336),and Shanghai Key Laboratory of Health Identification and Assessment(21DZ2271000). （82074333 and 82374336）
