不同中成药联合奥司他韦治疗流行性感冒的网状Meta分析OA北大核心CSTPCD
Network meta-analysis of different Chinese patent medicines combined with oseltamivir in the treatment of influenza
目的:通过网状Meta分析的方法,评价不同中成药联合奥司他韦治疗流行性感冒的疗效及安全性,为临床选药用药提供循证医学证据.方法:检索PubMed、Embase、Cochrane Library、Web of Science、中国知网(CNKI)、维普(VIP)、万方(Wangfang)数据库,获取不同中成药治疗流行性感冒的随机对照试验(RCT),检索时间截至2023年11月1日,使用Revman5.3软件和Stata17软件进行统计学分析.结果:最终筛选出40篇RCTs,包含患者4 738例,涉及8种治疗措施.研究结果表明,不同中成药联合奥司他韦在疗效方面均优于单纯使用奥司他韦.疏风解毒胶囊在总有效率和改善咳嗽方面效果最佳;小儿豉翘清热颗粒对于发热、咽痛症状效果明显;小儿柴桂退热颗粒缓解鼻塞流涕具有较大优势;在安全性方面,小儿豉翘清热颗粒不良反应率最低.结论:联合不同中成药可以提高奥司他韦对于流行性感冒的疗效.对小儿流感患者,可以优先选用小儿豉翘清热颗粒;针对成人流感患者,可以考虑使用疏风解毒胶囊或连花清瘟胶囊/颗粒.
Objective:To evaluate the efficacy and safety of different Chinese patent medicines combined with oseltamivir in the treatment of influenza by network meta-analysis,and to provide evidence for clinical drug selection.Methods:The databases of PubMed,Embase,Cochrane Library,Web of Science,CNKI,VIP and Wanfang were searched,and the randomized controlled trials of different Chinese patent medicines in treating influenza were obtained.The retrieval time was as of November 1,2023,and statistical analysis was made by using Revman5.3 software and Stata17 software.Results:Finally,40 articles including 4 738 patients were selected,involving 8 kinds of treatment measures.The results show that different Chinese patent medicines com-bined with oseltamivir have better effects than oseltamivir alone.Shufeng Jiedu Capsule has the best overall effect and cough im-provement.Xiaoer Chiqiao Qingre Granule has obvious effect on fever and sore throat.Xiaoer Chaigui antipyretic granule has great advantages in relieving nasal congestion and runny nose;In terms of safety,Xiaoer Chiqiao Qingre Granule has the lowest adverse reaction rate.Conclusions:Combination of different Chinese patent medicines can improve the curative effect of oseltamivir on in-fluenza.For children with influenza,Xiaoer Chiqiao Qingre Granules can be given priority.For adult patients with influenza,Shufeng Jiedu Capsule or Lianhua Qingwen Capsule/Granule can be considered.
谢云雪;刘旻;李修齐;王睦天;赵启亮;孙宏源
天津中医药大学第一附属医院,天津 300381||国家中医针灸临床医学研究中心,天津 300381||天津中医药大学,天津 301617天津中医药大学第一附属医院,天津 300381||国家中医针灸临床医学研究中心,天津 300381
临床医学
流行性感冒中成药奥司他韦网状Meta分析
InfluenzaChinese patent medicineOseltamivirNetwork meta-analysis
《海南医学院学报》 2024 (018)
1414-1424 / 11
Tianjin Key Research Projects in Traditional Chinese Medicine(2021010);Tianjin Science and Technology Talent Cultivation Project(KJ20205) 天津市中医药重点领域科研项目(2021010);天津市科技人才培育项目(KJ20205)
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